NPI 1013612811 · live from the CMS NPI Registry
Alan Acre
Psychologist in Riverside, CA. National Provider Identifier 1013612811, active.
NPI record
| NPI | 1013612811 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 6117 Brockton Ave, Riverside, CA 92506 |
| Practice phone | 951-206-1605 |
| Mailing address | 409 C Ave, Coronado, CA 92118 |
| Enumerated | April 3, 2023 |
| Last updated | April 3, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 34095 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.