Individual
ALYCIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 VETERAN AVE., LOS ANGELES, CA 90095-7142
(310) 206-9365
Mailing address
1000 VETERAN AVE., BOX 957142, LOS ANGELES, CA 90095-7142
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
09/11/2015
Last updated
05/31/2019
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