| Dritsas Psychological Services A Professional Corporation | |
|
8441 N Millbrook Ave Ste 102 Fresno CA 93720-2199 | |
| (559) 217-2591 | |
| (559) 433-9693 |
| Full Name | Dritsas Psychological Services A Professional Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 8441 N Millbrook Ave Ste 102, Fresno, California |
| Authorized Official Name and Position | Denise Marie Dritsas (PRESIDENT) |
| Authorized Official Contact | 5592172592 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dritsas Psychological Services A Professional Corporation 8441 N Millbrook Ave Ste 102 Fresno CA 93720-2199 Ph: (559) 217-2591 | Dritsas Psychological Services A Professional Corporation 8441 N Millbrook Ave Ste 102 Fresno CA 93720-2199 Ph: (559) 217-2591 |
| NPI Number | 1881847713 |
|---|---|
| Provider Enumeration Date | 10/23/2008 |
| Last Update Date | 05/21/2015 |
| Medicare PECOS PAC ID | 0042530412 |
|---|---|
| Medicare Enrollment ID | O20150527000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881847713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 17428 (California) | Primary |
| Provider Name | Denise M Dritsas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497715601 PECOS PAC ID: 0042530420 Enrollment ID: I20150527000238 |
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