Most Relevant Information
Provider Data
| NPI Number: | 1003828518 |
| Provider Name: | SMADAR AVIV PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TB0200X |
| Specialty: | Psychologist |
| License Number: | PSY9438 |
Most Important Dates
| Enumeration Date: | 08/13/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
7131 N 11TH ST STE 104
FRESNO
CA
937203375
Practice Location Phone/Fax
| Phone: | 5594350800 |
| Fax: | 5594357720 |
Provider Mailing Location
7131 N 11TH ST STE 104
FRESNO
CA
937203375
Provider Mailing Phone/Fax
| Phone: | 5594350800 |
| Fax: | 5594357720 |