Healthcare Provider Details
I. General information
NPI: 1710797519
Provider Name (Legal Business Name): RIZO PSYCHOLOGICAL & BEHAVIORAL HEALTH SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/13/2025
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2001 22ND ST STE 110
BAKERSFIELD CA
93301-3831
US
IV. Provider business mailing address
2200 ALTURAS DR
BAKERSFIELD CA
93305-2916
US
V. Phone/Fax
- Phone: 661-432-7093
- Fax:
- Phone: 661-932-7243
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TS0200X |
| Taxonomy | School Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MELISSA
RIZO
Title or Position: CFO
Credential: LCSW
Phone: 661-932-7243