| Doctor Name: | DAN CHARLES YERGENSEN |
| NPI Number: | 1215105119 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PSY 6535 |
| Business Practice Address: | 2737 West Cecil Ave Delano, CA - 93216 |
| Business Phone Number: | 6617212345 |
| Business Fax Number: | |
| Mailing Address: | Po Box 6092, VISALIA |
| State: | CA |
| Postal Code: | 932906092 |
| Phone Number: | 5597300604 |
| Fax Number: | |
| NPI Enumeration Date: | 02/13/2008 |
| NPI Last Update Date: | 02/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY 6535 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |