Individual
DR. ALISSA J ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
760 WESTWOOD PLZ, C8-746, LOS ANGELES, CA 90024-5055
(310) 825-0118
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY26157
CA
Other
Enumeration date
04/21/2014
Last updated
07/16/2024
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