Individual
DR. EDWYN W. ORTIZ-NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD.
Contact information
Practice address
1041 N. DEMAREE ST., VISALIA, CA 93291-7896
(559) 635-4252
(559) 635-4281
Mailing address
1041 N. DEMAREE ST., VISALIA, CA 93291-7896
(559) 635-4252
(559) 635-4281
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PY60221926
WA
103G00000X
Clinical Neuropsychologist
PSY18170
CA
103G00000X
Clinical Neuropsychologist
PY60221926
WA
103TC0700X
Clinical Psychologist
PSY18170
CA
103TC0700X
Clinical Psychologist
Primary
PY60221926
WA
103TC2200X
Clinical Child & Adolescent Psychologist
PS60221926
WA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY18170
CA
103TF0000X
Family Psychologist
PS60221926
WA
103TF0000X
Family Psychologist
PSY18170
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS60221926
WA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY18170
CA
Other
Enumeration date
04/11/2008
Last updated
01/11/2012
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