Healthcare Provider Details

I. General information

NPI: 1700964681
Provider Name (Legal Business Name): MICHELLE ALVAREZ PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 11/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 BATTERY PARK AVE STE 301
ASHEVILLE NC
28801-2879
US

IV. Provider business mailing address

25 MINERAL SPRINGS RD
ASHEVILLE NC
28805-1761
US

V. Phone/Fax

Practice location:
  • Phone: 917-547-0468
  • Fax:
Mailing address:
  • Phone: 917-547-0468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5629
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: