Individual
DR. GEORGES ALEXANDRE TICHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
8787 CENTER DR, LA MESA, CA 91942-3034
(800) 257-8715
(800) 819-1655
Mailing address
10940 FOOTE CT, RIVERSIDE, CA 92505-3012
(951) 743-0642
(951) 352-2986
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY17833
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY178330
—
CA
Enumeration date
07/13/2006
Last updated
02/17/2010
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