Basic Information
Provider Information
NPI: 1225474513
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRENGER
FirstName: ALYSSA
MiddleName: MICHELLE
NamePrefix: DR.
NameSuffix:  
Credential: PSYD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2600 STATE ST
Address2:  
City: DALLAS
State: TX
PostalCode: 752042633
CountryCode: US
TelephoneNumber: 9727032725
FaxNumber: 8884903628
Practice Location
Address1: 685 E CALIFORNIA BLVD
Address2:  
City: PASADENA
State: CA
PostalCode: 911063847
CountryCode: US
TelephoneNumber: 6267957910
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/14/2013
LastUpdateDate: 05/25/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 
103T00000X37331TXN Behavioral Health & Social Service ProvidersPsychologist 

No ID Information.


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