Provider Demographics
NPI:1891591863
Name:PANNU, NAVPREET K (PPS)
Entity type:Individual
Prefix:
First Name:NAVPREET
Middle Name:K
Last Name:PANNU
Suffix:
Gender:
Credentials:PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:658 E ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:FOWLER
Mailing Address - State:CA
Mailing Address - Zip Code:93625-2198
Mailing Address - Country:US
Mailing Address - Phone:559-834-6080
Mailing Address - Fax:
Practice Address - Street 1:701 E WALTER AVE
Practice Address - Street 2:
Practice Address - City:FOWLER
Practice Address - State:CA
Practice Address - Zip Code:93625-9792
Practice Address - Country:US
Practice Address - Phone:559-316-9481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool