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516 W Shaw Ave Suite 200 Fresno CA 93704-2515 | |
| (559) 221-4948 | |
| (559) 221-2660 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 516 W Shaw Ave, Fresno, California |
| Authorized Official Name and Position | Virginia Johnson (PYSCHOLOGIST) |
| Authorized Official Contact | 5592214948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
516 W Shaw Ave Suite 200 Fresno CA 93704-2515 Ph: (559) 221-4948 | 516 W Shaw Ave Suite 200 Fresno CA 93704-2515 Ph: (559) 221-4948 |
| NPI Number | 1104130970 |
|---|---|
| Provider Enumeration Date | 08/03/2010 |
| Last Update Date | 12/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104130970 | NPI | - | NPPES |
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Fresno County California Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 851 Van Ness Ave, Fresno, CA 93721 Phone: 559-488-1318 |