| Desert River Psychology, Inc. | |
|
4781 E Gettysburg Ave #101 Fresno CA 93726-1814 | |
| (559) 472-8375 | |
| (888) 466-8290 |
| Full Name | Desert River Psychology, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 4781 E Gettysburg Ave #101, Fresno, California |
| Authorized Official Name and Position | Alexia Baca Morgan (PSYCHOLOGIST/PRESIDENT) |
| Authorized Official Contact | 5594728375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert River Psychology, Inc. 4781 E Gettysburg Ave #101 Fresno CA 93726-1814 Ph: (559) 472-8375 | Desert River Psychology, Inc. 4781 E Gettysburg Ave #101 Fresno CA 93726-1814 Ph: (559) 472-8375 |
| NPI Number | 1356925325 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 05/06/2021 |
| Certification Date | 05/06/2021 |
| Medicare PECOS PAC ID | 0749675353 |
|---|---|
| Medicare Enrollment ID | O20220317002029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356925325 | NPI | - | NPPES |
| 5593142 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Alexia B Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245327626 PECOS PAC ID: 3779665203 Enrollment ID: I20080123000530 |
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