Individual
DR. ALYSIA L LIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5931 STANLEY AVE STE 1, CARMICHAEL, CA 95608-3846
(916) 436-3580
(916) 436-3581
Mailing address
3941 PARK DR STE 20-359, EL DORADO HILLS, CA 95762-4549
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY19996
CA
Other
Enumeration date
07/24/2009
Last updated
02/06/2020
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