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DR. EVELYN ALICEA PSYD

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1487685434

Individual Registrant:
DR. EVELYN  ALICEA PSYD
Gender: F
Sole Proprietor

Location and contact information for practice:
518 E MAIN ST  SANTA MARIA, CA 93454-4504 US
Tel: 805-346-1999  Fax: 805-346-1998

Contact information for business:
518 E MAIN ST  SANTA MARIA, CA 93454-4504 US
Tel: 805-346-1999  Fax: 805-346-1998

Registration Information:
NPI: 1487685434
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
CAPSY19366

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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