Organization
PSYCHOLOGICAL SELF-PRAXIS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALESYA NAZAROVA PSYD (PRESIDENT)
(310) 227-9061
Entity
Organization
Contact information
Practice address
1039 OAK RIDGE DR, VICTOR, NY 14564-9414
(310) 227-9061
Mailing address
41 N GARFIELD AVE STE 205, ALHAMBRA, CA 91801-7502
(310) 227-9061
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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