Ashley Alyssa Massimino in Anaheim - Clinical
Ashley Alyssa Massimino - NPI 1619161569
Ashley Alyssa Massimino is a Clinical in Anaheim, California. Ashley Alyssa Massimino practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ashley Alyssa Massimino is 1619161569. The last update date is 2018-09-21.
Ashley Alyssa Massimino's current location address is 572 N Clemson Dr, Anaheim, California. You can contact this provider via phone number 7145959210. The mailing address for Ashley Alyssa Massimino is 572 N Clemson Dr, Anaheim, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ashley Alyssa Massimino |
|---|---|
| Address | 572 N Clemson Dr, Anaheim, California |
| Phone Number | 7145959210 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1619161569 |
|---|---|
| Provider Enumeration Date | 2007-09-04 |
| Last Updated Date | 2018-09-21 |
Provider Mailing Address Detail
| Address | 572 N Clemson Dr |
|---|---|
| City | Anaheim |
| State | California (CA) |
| Post Code | 928015375 |
| Phone Number | 7145959210 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY23992 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Ashley Alyssa Massimino's 1619161569?
The Ashley Alyssa Massimino's NPI (National Provider Identifier) Number is 1619161569. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Ashley Alyssa Massimino located?
The Ashley Alyssa Massimino is located at 572 N Clemson Dr, Anaheim, CA 928015375.
What is Ashley Alyssa Massimino's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ashley Alyssa Massimino is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did Ashley Alyssa Massimino receive its 1619161569 assignment from the Centers for Medicare & Medicaid Services?
The Ashley Alyssa Massimino was assigned its 1619161569 on 2007-09-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Ashley Alyssa Massimino most recently updated or revised?
The details related to Ashley Alyssa Massimino, including its address, specialty, and other relevant information, were last updated or revised on 2018-09-21.
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