Healthcare Provider Details

I. General information

NPI: 1710817481
Provider Name (Legal Business Name): CHRYSALIS PSYCHOLOGICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 W SHAW AVE STE 200
FRESNO CA
93711-3501
US

IV. Provider business mailing address

1500 W SHAW AVE STE 200
FRESNO CA
93711-3501
US

V. Phone/Fax

Practice location:
  • Phone: 559-648-7747
  • Fax:
Mailing address:
  • Phone: 559-648-7747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: VANESSA NEVES-ARMOUR
Title or Position: GROUP OWNER
Credential: PSYD
Phone: 559-648-7747