Organization
FRESNO STATE UNIVERSITY HEALTH AND PSYCHOLOGICAL SERVICEDS
Active
Parent organization
CALIFORNIA STATE UNIVERSITY FRESNO
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALIFORNIA STATE UNIVERSITY FRESNO
Authorized official
MR. DIRK MARTIN RUTHRAUFF MBA (ASSOCIATE DIRECTOR)
(559) 278-6717
Entity
Organization
Contact information
Practice address
UNIVERSITY HEALTH AND PSYCHOLOGICAL SERVICES, 5044 NORTH BARTON AVENUE M/S HC81, FRESNO, CA 93740-0001
(559) 278-6715
(559) 278-5409
Mailing address
UNIVERSITY HEALTH AND PSYCHOLOGICAL SERVICES, 5044 NORTH BARTON AVENUE M/S HC81, FRESNO, CA 93740-0001
(559) 278-6715
(559) 278-5409
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
N/A
—
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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