Healthcare Provider Details

I. General information

NPI: 1164032751
Provider Name (Legal Business Name): MARIA ALLYSON AYSON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2020
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3831 HUGHES AVE STE 509
CULVER CITY CA
90232-6861
US

IV. Provider business mailing address

3831 HUGHES AVE STE 509
CULVER CITY CA
90232-6861
US

V. Phone/Fax

Practice location:
  • Phone: 925-282-1778
  • Fax: 415-296-5299
Mailing address:
  • Phone: 925-282-1778
  • Fax: 415-296-5299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY36724
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: