Healthcare Provider Details

I. General information

NPI: 1770371908
Provider Name (Legal Business Name): VALLEY PSYCHOLOGICAL WELL BEING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 W ALLUVIAL AVE STE 103
FRESNO CA
93711-5779
US

IV. Provider business mailing address

685 W ALLUVIAL AVE STE 103
FRESNO CA
93711-5779
US

V. Phone/Fax

Practice location:
  • Phone: 559-499-1233
  • Fax:
Mailing address:
  • Phone: 559-499-1233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AHMAD TOUSINEZHAD
Title or Position: PRESIDENT
Credential: PHD
Phone: 559-499-1233