Edwyn W. Ortiz-Nance Psychological Services
Edwyn W. Ortiz-Nance Psychological Services is an Exclusive Provider Organization in Fresno, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
2080 N Winery Ave #101Fresno, CA 93703-4817
Phone: (559) 252-6353
Fax: (559) 252-7964
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Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence PSB94020449 (CA) |
|---|---|
| Exclusive Provider Organization | Taxonomy 302F00000X · Licence PSB94020449 (CA) |
Record details
| NPI number | 1396156030 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edwyn Ortiz-Nance — Clinical Psychologist Administrator · (559) 252-6353 |
| NPI enumerated | May 15, 2014 |
| Last updated in NPPES | May 15, 2014 |
| Mailing address | 2080 N Winery Ave, 101, Fresno, CA 93703-4817 |
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