Individual
ALEXANDRA TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
760 WESTWOOD PLZ STE C8-749, LOS ANGELES, CA 90095-3803
(323) 205-6843
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY34509
CA
103TC0700X
Clinical Psychologist
Primary
PSY34509
CA
Other
Enumeration date
09/13/2023
Last updated
04/01/2025
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