MEDICARE: ABO PSYCHOLOGICAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TF0200X	Forensic Psychologist
2	103TH0004X	Health Psychologist
3	103TP2701X	Group Psychotherapy Psychologist
4	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1205637642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABO PSYCHOLOGICAL CORPORATION

Provider Business Mailing Address
First Line	:	2037 W BULLARD AVE # 182
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-1233
Country	:	US
Telephone Number	:	559-840-6436
Fax Number	:

Provider Business Practice Location Address
First Line	:	1715 S CAESAR AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93727-5914
Country	:	US
Telephone Number	:	559-753-8988
Fax Number	:	559-295-8936

Authorized Official
Title or Position	:	CEO
Name	:	DR. CATHERINE HARRIS
Credential	:	PSYD
Telephone Number	:	559-840-6436

Provider Enumeration Date	:	03/21/2025
Last Update Date	:	03/21/2025

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Directions to “ABO PSYCHOLOGICAL CORPORATION ” Practice Location

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