MEDICARE: PSYCHOLOGICAL CONSULTING SERVICES, 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	103T00000X	Psychologist	PSY13719	CA

General Provider Information

NPI Number	:	1902946692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCHOLOGICAL CONSULTING SERVICES, INC.

Provider Business Mailing Address
First Line	:	1890 E SOLAR AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-1497
Country	:	US
Telephone Number	:	559-355-9230
Fax Number	:	559-227-1008

Provider Business Practice Location Address
First Line	:	3752 N 1ST ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-5601
Country	:	US
Telephone Number	:	559-355-9230
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. RONALD S. KIYUNA
Credential	:	EDD, PSYCHOLOGIST
Telephone Number	:	559-355-9230

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	08/22/2020

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