Healthcare Provider Details

I. General information

NPI: 1205637642
Provider Name (Legal Business Name): ABO PSYCHOLOGICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 S CAESAR AVE
FRESNO CA
93727-5914
US

IV. Provider business mailing address

2037 W BULLARD AVE # 182
FRESNO CA
93711-1233
US

V. Phone/Fax

Practice location:
  • Phone: 559-753-8988
  • Fax: 559-295-8936
Mailing address:
  • Phone: 559-840-6436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CATHERINE HARRIS
Title or Position: CEO
Credential: PSYD
Phone: 559-840-6436