Provider Information
Last Updated : Jul 29 2024 11:07 AM
Susan B Rischall Heytow
City Fresno |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Rischall Heytow |
First Name Susan |
Middle Name B |
Address 5588 N Palm Ave |
State CA |
Zip Code 93704 |
Phone (559)899-9047 |
Hours Mon - Fri 8:00 AM - 5:00 PM |
Gender F |
Title M.A. |
Physician ID 912275 |
Section Number 4 |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1336485085 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
RESTROOM_IND R |
License ID BCB18153 |
Email nclinton@buildingblocksbc.com |
Board Certified No |
Self Access Flag Self Reported Data |
Panel Status Available by referral only |