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General NPI Number Information
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NPI Number | 1922389667
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Entity Type | Individual
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Provider Name | ALYSON MARX PSYD
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Gender | Female
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Dates
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Enumeration Date | 09/08/2011
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 13130 BURBANK BLVD
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City | SHERMAN OAKS
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State | CA
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Zip | 91401-6000
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Country | US
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Telephone | 949-339-3883
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Fax |
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Provider Business Mailing Address
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Address Line | 221 RIVERMOOR ST
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City | WEST ROXBURY
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State | MA
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Zip | 02132-4905
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 33245
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License Number State | CA
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