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Contact Information

EDWYN W ORTIZ-NANCE
2060 N WINERY AVE
#102
FRESNO, CA93703-4816
 Phone: 559-252-6353
 Fax: 559-252-7964
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for EDWYN W ORTIZ-NANCE

NPI Number 1942592621
LBN Legal business name EDWYN W ORTIZ-NANCE
Authorized official EDWYN ORTIZ-NANCE - (OWNER/CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2011
Last updated 11/29/2011 - About 15 years ago
Identifiers
CA Other 1467625368 SYNCHRONY OF VISALIA, INC.
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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