Shawn Tyler Redfield Jr, | |
4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | |
(559) 600-9180 | |
Not Available |
Full Name | Shawn Tyler Redfield Jr |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 4441 E Kings Canyon Rd, Fresno, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538796941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 118598 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Shawn Tyler Redfield Jr, 3064 Blackwood Ave, Clovis, CA 93619-3929 Ph: (559) 385-3761 | Shawn Tyler Redfield Jr, 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 Ph: (559) 600-9180 |
Ms. Dolores Giammarise Amato, MS MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6777 N Willow Ave, #141, Fresno, CA 93710 Phone: 559-298-7230 Fax: 888-730-7357 | |
Lori L. James, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4441 E Kings Canyon Rd, Fresno, CA 93702 Phone: 559-253-9180 Fax: 559-453-8436 | |
Nicole Yvette Sinerchio, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2560 W Shaw Ln Ste 104, Fresno, CA 93711 Phone: 559-443-4800 | |
Gabrielle K Gatewood, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4411 E Cesar Chavez Blvd #319, Fresno, CA 93702 Phone: 559-600-2382 | |
Ms. Shanise Lewis, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Po Box 11098, Fresno, CA 93771 Phone: 559-577-0297 | |
Cheryl Lee Dueck Smith, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1734 W Shaw Ave, Fresno, CA 93711 Phone: 559-439-5920 | |
Anabel Carrasco, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2560 W Shaw Ln Ste 104, Fresno, CA 93711 Phone: 559-443-4800 |