Organization
CENTRAL CALIFORNIA WOMEN'S FACILITY, CDCR
Active
Organization
CENTRAL CALIFORNIA WOMEN'S FACILITY, CDCR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYMEE M HER PHD (CLINICAL PSYCHOLOGIST)
(559) 665-5531
Entity
Organization
Contact information
Practice address
2844 E VERMONT AVE, FRESNO, CA 93720-5327
(559) 665-5531
(559) 665-6048
Mailing address
2844 E VERMONT AVE, FRESNO, CA 93720-5327
(559) 665-5531
(559) 665-6438
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY22396
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8004039
CDCR CREDENTIALS VERIFICATION UNIT
CA
Enumeration date
05/08/2013
Last updated
05/08/2013
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