Individual
DR. ALICE THIE VIEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2124 VISTA LAREDO, NEWPORT BEACH, CA 92660-4041
(949) 720-9464
(949) 760-1475
Mailing address
2124 VISTA LAREDO, NEWPORT BEACH, CA 92660-4041
(949) 720-9464
(949) 760-1475
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 9614
CA
Other
Enumeration date
03/11/2007
Last updated
07/08/2007
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