Healthcare Provider Details

I. General information

NPI: 1861738569
Provider Name (Legal Business Name): NANCY HAND-RONGA PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2012
Last Update Date: 12/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3443 W SHAW AVE
FRESNO CA
93711-3249
US

IV. Provider business mailing address

3443 W SHAW AVE
FRESNO CA
93711-3249
US

V. Phone/Fax

Practice location:
  • Phone: 559-271-1186
  • Fax: 559-271-8041
Mailing address:
  • Phone: 559-271-1186
  • Fax: 559-271-8041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY15285
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: