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Individual

ALYSSA CHIMIKLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2659 STATE ST STE 100, CARLSBAD, CA 92008-1627
(781) 718-0002
Mailing address
3200 PASEO VILLAGE WAY APT 1815, SAN DIEGO, CA 92130-3252
(781) 718-0002

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
024083
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY32438
CA

Other

Enumeration date
12/09/2022
Last updated
12/09/2022
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