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Organization
SYNCHRONY OF VISALIA, INC
Active
Organization
SYNCHRONY OF VISALIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWYN W ORTIZ-NANCE PSY.D. (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
101YM0800X
Mental Health Counselor
MFC24170
CA
103G00000X
Clinical Neuropsychologist
PSY18170
CA
103T00000X
Psychologist
Primary
PSY13698
CA
Other
Enumeration date
03/28/2007
Last updated
01/11/2012
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