Healthcare Provider Details

I. General information

NPI: 1225474513
Provider Name (Legal Business Name): ALYSSA MICHELLE STRENGER PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2013
Last Update Date: 05/25/2021
Certification Date: 05/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 E CALIFORNIA BLVD
PASADENA CA
91106-3847
US

IV. Provider business mailing address

2600 STATE ST
DALLAS TX
75204-2633
US

V. Phone/Fax

Practice location:
  • Phone: 626-795-7910
  • Fax:
Mailing address:
  • Phone: 972-703-2725
  • Fax: 888-490-3628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number37331
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: