Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SYNCHRONY OF VISALIA, INC.
Active
Organization
SYNCHRONY OF VISALIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWYN ORTIZ-NANCE PSY.D., M.O.B. (CLINICAL DIRECTOR)
(559) 635-4252
Entity
Organization
Contact information
Practice address
1041 N DEMAREE ST, VISALIA, CA 93291-4119
(559) 635-4252
(559) 635-4281
Mailing address
1041 N DEMAREE ST, VISALIA, CA 93291-4119
(559) 635-4252
(559) 635-4281
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY 20528
CA
103TA0700X
Adult Development & Aging Psychologist
PSY 20528
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY 20528
CA
103TC0700X
Clinical Psychologist
Primary
PSY 20528
CA
103TF0000X
Family Psychologist
PSY 20528
CA
103TF0200X
Forensic Psychologist
PSY 20528
CA
103TH0100X
Health Service Psychologist
PSY 20528
CA
103TP2701X
Group Psychotherapy Psychologist
PSY 20525
CA
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up