| Alexandra Decleene | |
|
22653 Pch #10 Malibu CA 90265 | |
| (424) 234-0128 | |
| Not Available |
| Full Name | Alexandra Decleene |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 22653 Pch #10, Malibu, California |
| Authorized Official Name and Position | Alexandra Decleene (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 4242340128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Decleene Po Box 1646 Topanga CA 90290-1646 Ph: (424) 234-0128 | Alexandra Decleene 22653 Pch #10 Malibu CA 90265 Ph: (424) 234-0128 |
| NPI Number | 1821487091 |
|---|---|
| Provider Enumeration Date | 01/12/2015 |
| Last Update Date | 02/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821487091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 82559 (California) | Primary |
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