Organization
EDWYN W ORTIZ-NANCE
Active
Other names
E.W. Ortiz-Nance, PsyD Psychological Services at the Centre for Harmo
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWYN W ORTIZ-NANCE PSYD (OWNER/CLINICAL PSYCHOLOGIST)
(559) 252-6353
Entity
Organization
Contact information
Practice address
2060 N WINERY AVE, #102, FRESNO, CA 93703-4816
(559) 252-6353
(559) 252-7964
Mailing address
2060 N WINERY AVE, 102, FRESNO, CA 93703-4816
(559) 252-6353
(559) 252-7964
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467625368
SYNCHRONY OF VISALIA, INC.
CA
Enumeration date
05/12/2011
Last updated
11/29/2011
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