| Fresno Health And Wellness | |
|
2023 N Preuss Ave Clovis CA 93619-7464 | |
| (559) 246-8679 | |
| Not Available |
| Full Name | Fresno Health And Wellness |
|---|---|
| Speciality | Psychologist |
| Location | 2023 N Preuss Ave, Clovis, California |
| Authorized Official Name and Position | Michelle D Scoggins (OWNER) |
| Authorized Official Contact | 5592468679 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresno Health And Wellness 2023 N Preuss Ave Clovis CA 93619-7464 Ph: (559) 246-8679 | Fresno Health And Wellness 2023 N Preuss Ave Clovis CA 93619-7464 Ph: (559) 246-8679 |
| NPI Number | 1811543747 |
|---|---|
| Provider Enumeration Date | 08/15/2019 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/18/2023 |
| Medicare PECOS PAC ID | 9638505597 |
|---|---|
| Medicare Enrollment ID | O20200212002424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811543747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Michelle Scoggins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417318569 PECOS PAC ID: 0547696403 Enrollment ID: I20200212002486 |
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