Organization
INCLUSION LEARNING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAUKUE XIONG (LICENSED EDUCATIONAL PSYCHOLOGIST)
(559) 545-1170
Entity
Organization
Contact information
Practice address
3066 PORTALS AVE, CLOVIS, CA 93619-9380
(559) 545-1170
Mailing address
3066 PORTALS AVE, CLOVIS, CA 93619-9380
(559) 545-1170
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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