Individual
ALISSA C VANNET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
21 TAMAL VISTA BLVD STE 225, CORTE MADERA, CA 94925-1130
(415) 216-2167
Mailing address
21 TAMAL VISTA BLVD STE 225, CORTE MADERA, CA 94925-1130
(415) 216-2167
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
33925
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/24/2017
Last updated
06/24/2024
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