MEDICARE: OROSCO PSYCHOTHERAPY AND ASSESSMENTS INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1700685773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OROSCO PSYCHOTHERAPY AND ASSESSMENTS INC

Provider Business Mailing Address
First Line	:	PO BOX 412
Second Line	:
City	:	DINUBA
State	:	CA
Zip	:	93618-0412
Country	:	US
Telephone Number	:	559-743-5664
Fax Number	:	866-214-3180

Provider Business Practice Location Address
First Line	:	1359 N FRESNO ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93703-3837
Country	:	US
Telephone Number	:	559-743-5664
Fax Number	:	866-214-3180

Authorized Official
Title or Position	:	CLINICAL PSYCHOLOGIST
Name	:	DR. DANIELLE Q OROSCO
Credential	:	PHD
Telephone Number	:	559-743-5664

Provider Enumeration Date	:	03/11/2025
Last Update Date	:	03/19/2025

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