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Contact Information

SYNCHRONY OF VISALIA, INC.
1041 N DEMAREE ST
VISALIA, CA93291-4119
 Phone: 559-635-4252
 Fax: 559-635-4281
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SYNCHRONY OF VISALIA, INC.

NPI # 1336410141
LBN Legal business name SYNCHRONY OF VISALIA, INC.
Authorized official EDWYN ORTIZ-NANCE - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/25/2012
Last updated 01/25/2012 - About 14 years ago
Identifiers
CA License # PSY 20525
CA License # PSY 20528
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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