Healthcare Provider Details

I. General information

NPI: 1295687275
Provider Name (Legal Business Name): MANDALA PSYCHOLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3097 WILLOW AVE STE 11
CLOVIS CA
93612-4715
US

IV. Provider business mailing address

3097 WILLOW AVE STE 11
CLOVIS CA
93612-4715
US

V. Phone/Fax

Practice location:
  • Phone: 559-899-6755
  • Fax:
Mailing address:
  • Phone: 559-899-6755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ARIANA A LOPEZ-TURNER
Title or Position: LICENSED CLINICAL PSYCHOLOGIST/CEO
Credential: PSYD
Phone: 559-899-6755