Individual
DR. ALISA CASTLETON NOWIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3036 REGENT STREET, BERKELEY, CA 94705-2551
(650) 644-5358
(888) 841-0506
Mailing address
3036 REGENT STREET, BERKELEY, CA 94705-2551
(650) 644-5358
(888) 841-0506
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
016438
NY
103TC0700X
Clinical Psychologist
Primary
PSY21587
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY21587
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355940
—
NY
01
—
016438
NYS PSYD LICENSE #
NY
01
—
461699
MHN INSURANCE
CA
01
—
PSY 21587
CA LICENSE
—
Enumeration date
05/16/2006
Last updated
12/15/2022
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