Provider Demographics
NPI:1508739129
Name:PALMA CISNEROS, WENDY
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:PALMA CISNEROS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 INDIANA AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-4266
Mailing Address - Country:US
Mailing Address - Phone:951-291-8770
Mailing Address - Fax:951-291-8797
Practice Address - Street 1:6800 INDIANA AVE STE 140
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-4266
Practice Address - Country:US
Practice Address - Phone:951-291-8770
Practice Address - Fax:951-291-8797
Is Sole Proprietor?:No
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist