Provider Demographics
NPI:1194268128
Name:SENKOWSKI, BEVERLY J (PSYD, CPC)
Entity type:Individual
Prefix:
First Name:BEVERLY
Middle Name:J
Last Name:SENKOWSKI
Suffix:
Gender:F
Credentials:PSYD, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4946 E YALE AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-1571
Mailing Address - Country:US
Mailing Address - Phone:559-825-1357
Mailing Address - Fax:
Practice Address - Street 1:2190 N WINERY AVE STE 102
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-4812
Practice Address - Country:US
Practice Address - Phone:559-825-1357
Practice Address - Fax:559-558-8999
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-22
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator