Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PSY30528 | CA |
Y | 103T00000X | Psychologist | PSY30528 | CA |
N | 225C00000X | Rehabilitation Counselor |
NPI | 1114186111 |
---|---|
Provider Name | Dr. Renee Marie Sloane Alas |
First Address | Culver City, CA 90230-4820 |
Second Address | Culver City, CA 90230-4820 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2008 |
Last Update Date | 10/01/2019 |