MEDICARE: EMILY MORESCO PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY26606	CA

General Provider Information

NPI Number	:	1992055545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY MORESCO PSY.D.

Provider Business Mailing Address
First Line	:	PO BOX 144
Second Line	:
City	:	AROMAS
State	:	CA
Zip	:	95004-0144
Country	:	US
Telephone Number	:	323-999-8787
Fax Number	:

Provider Business Practice Location Address
First Line	:	1320 E SHAW AVE STE 150
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-7915
Country	:	US
Telephone Number	:	559-240-5968
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2012
Last Update Date	:	11/29/2023

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Directions to “ EMILY MORESCO PSY.D.” Practice Location

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