Healthcare Provider Details

I. General information

NPI: 1437003597
Provider Name (Legal Business Name): PACHIA RODRIQUES
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

452 W NEES AVE APT 273
FRESNO CA
93711-6222
US

IV. Provider business mailing address

452 W NEES AVE APT 273
FRESNO CA
93711-6222
US

V. Phone/Fax

Practice location:
  • Phone: 559-412-1393
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: