Individual
DR. ALISA WILLENS-DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2103 EL CAMINO REAL, SUITE 203, OCEANSIDE, CA 92054
(760) 599-7833
Mailing address
2350 VISTA GRANDE TERRACE, VISTA, CA 92084
(760) 758-0522
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY13064
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY13064
STATE LICENSE NUMBER
CA
05
—
PSY130640
—
CA
Enumeration date
10/03/2006
Last updated
07/08/2007
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