ALISSA CHARVONIA
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1235635020- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1499 S TIPPECANOE AVE # A, SAN BERNARDINO, CA, 924082920
- Phone
- (909) 799-3777
- Fax
- (909) 799-5999
Specialties & Taxonomies
Psychologist, Clinical
Primary License: CA #35989