Individual
DR. ELAINE COSTANZO ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
18546 ROSCOE BLVD STE 210, NORTHRIDGE, CA 91324-5454
(818) 710-8057
(818) 710-8042
Mailing address
17075 DEVONSHIRE ST STE 204, NORTHRIDGE, CA 91325-5408
(818) 710-8057
(818) 368-8940
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 5342
CA
Other
Enumeration date
10/23/2006
Last updated
03/03/2012
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