Central California Women's Facility, Cdcr

NPI 1124463716 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1124463716
Enumeration Date 05/08/2013
Last Updated 05/08/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MYMEE M MYMEE
Position CLINICAL PSYCHOLOGIST
Phone (559) 665-5531
Fax (559) 665-6048
Practice Location
2844 E VERMONT AVE
FRESNO CA, 93720-5327, US
Phone (559) 665-5531
Fax (559) 665-6048
Business Location
2844 E VERMONT AVE
FRESNO CA, 93720-5327, US
Phone (559) 665-5531
Fax (559) 665-6438
Toxanomy
Taxonomy Code 251S00000X
License State California
License Number PSY22396
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According to our database, Central California Women's Facility, Cdcr NPI is 1124463716, taxonomy code is 251S00000X and license number is PSY22396, license state is located at California. Central California Women's Facility, Cdcr physically located at 2844 E Vermont Ave, Fresno CA, 93720-5327. NPI Number 1033115704 has the healthcare provider type.

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1124463716 NPI number is provided on an as is basis without warranty of any kind. 1124463716 is maintained by the National Plan & Provider Enumeration System. The contents of Central California Women's Facility, Cdcr are for informational purposes only.