| Jonathan M Fogel Phd A Professional Psychology Corporation | |
|
525 W Main St Visalia CA 93291-6116 | |
| (559) 429-5211 | |
| Not Available |
| Full Name | Jonathan M Fogel Phd A Professional Psychology Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 525 W Main St, Visalia, California |
| Authorized Official Name and Position | Jonathan M Fogel (OWNER / PRESIDENT) |
| Authorized Official Contact | 5594295211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan M Fogel Phd A Professional Psychology Corporation 4125 W Noble Ave Unit 185 Visalia CA 93277-1662 Ph: (559) 429-5211 | Jonathan M Fogel Phd A Professional Psychology Corporation 525 W Main St Visalia CA 93291-6116 Ph: (559) 429-5211 |
| NPI Number | 1851137780 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851137780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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