| Entera Therapy | |
|
1322 E Shaw Ave Ste 260 Fresno CA 93710-7914 | |
| (559) 202-3949 | |
| (559) 468-0123 |
| Full Name | Entera Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1322 E Shaw Ave Ste 260, Fresno, California |
| Authorized Official Name and Position | Stephanie Zimmerman (CEO) |
| Authorized Official Contact | 5593127779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Entera Therapy 1322 E Shaw Ave Ste 260 Fresno CA 93710-7914 Ph: (559) 202-3949 | Entera Therapy 1322 E Shaw Ave Ste 260 Fresno CA 93710-7914 Ph: (559) 202-3949 |
| NPI Number | 1033880794 |
|---|---|
| Provider Enumeration Date | 09/22/2021 |
| Last Update Date | 09/22/2021 |
| Certification Date | 09/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033880794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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