| The Sullivan Center For Children | |
|
3443 West Shaw Avenue Fresno CA 93711 | |
| (559) 271-1186 | |
| (559) 271-8041 |
| Full Name | The Sullivan Center For Children |
|---|---|
| Speciality | Psychologist |
| Location | 3443 West Shaw Avenue, Fresno, California |
| Authorized Official Name and Position | Mellissa R Griffith (PSYCHOLOGIST) |
| Authorized Official Contact | 5592711186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Sullivan Center For Children 3443 W Shaw Ave Fresno CA 93711-3249 Ph: (559) 271-1186 | The Sullivan Center For Children 3443 West Shaw Avenue Fresno CA 93711 Ph: (559) 271-1186 |
| NPI Number | 1275820680 |
|---|---|
| Provider Enumeration Date | 07/06/2011 |
| Last Update Date | 07/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275820680 | NPI | - | NPPES |
| PSB 35913 | Other | CA | PRIVATE PAY INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 103PC0700X (California) | Primary |
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