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Contact Information

CALIFORNIA CONSORTIUM FOR PREVENTION AND INTERVENTION
1911 N FINE AVE
FRESNO, CA93727-1510
 Phone: 559-813-0461
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CALIFORNIA CONSORTIUM FOR PREVENTION AND INTERVENTION · (Female)

NPI # 1346094729
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2024
Last updated 04/12/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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