Ronald Lawrence Gandolfo in Fresno - Clinical
Ronald Lawrence Gandolfo - NPI 1083649818
Ronald Lawrence Gandolfo is a Clinical in Fresno, California. Ronald Lawrence Gandolfo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ronald Lawrence Gandolfo is 1083649818. The last update date is 2007-07-08.
Ronald Lawrence Gandolfo's current location address is 5151 N Palm Ave, Fresno, California. You can contact this provider via phone number 5592269488 and fax number 5592269461. The mailing address for Ronald Lawrence Gandolfo is 5151 N Palm Ave, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Lawrence Gandolfo |
|---|---|
| Address | 5151 N Palm Ave, Fresno, California |
| Phone Number | 5592269488 |
| Fax Number | 5592269461 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1083649818 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5151 N Palm Ave |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937042211 |
| Phone Number | 5592269488 |
| Fax Number | 5592269461 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY3782 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code issued to Ronald Lawrence Gandolfo by the Centers for Medicare & Medicaid Services?
The Ronald Lawrence Gandolfo has been assigned the NPI (National Provider Identifier) 1083649818 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Ronald Lawrence Gandolfo's facilities are situated?
The facilities of Ronald Lawrence Gandolfo are physically located at the following address: 5151 N Palm Ave, Fresno, CA, 937042211.
What is Ronald Lawrence Gandolfo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ronald Lawrence Gandolfo is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Ronald Lawrence Gandolfo receive its 1083649818 assignment from the Centers for Medicare & Medicaid Services?
The Ronald Lawrence Gandolfo was assigned its 1083649818 by the Centers for Medicare & Medicaid Services on 2006-07-11.
As of what date were the Ronald Lawrence Gandolfo's details last updated?
The information pertaining to the Ronald Lawrence Gandolfo, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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