Individual
DR. ASHLEY ALYSSA MASSIMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
572 N CLEMSON DR, ANAHEIM, CA 92801-5375
(714) 595-9210
Mailing address
601 S. LEWIS ST., ORANGE, CA 92868
(714) 338-3635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PSY23992
CA
Other
Enumeration date
09/04/2007
Last updated
09/21/2018
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