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Individual

ALYSSA JAMMAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
140 E COLORADO BLVD, MONROVIA, CA 91016-5110
(626) 358-1564
Mailing address
PO BOX 7105, BURBANK, CA 91510-7105
(626) 358-1564

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
LMFT100613
CA
103TC2200X
Clinical Child & Adolescent Psychologist
LMFT100613
CA
103TF0000X
Family Psychologist
Primary
LMFT100613
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
LMFT100613
CA

Other

Enumeration date
05/14/2018
Last updated
05/14/2018
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