Provider Demographics
NPI:1366827164
Name:MAGLIAN, RONILLEEN ALVAR (MA)
Entity Type:Individual
Prefix:
First Name:RONILLEEN
Middle Name:ALVAR
Last Name:MAGLIAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 427
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-0427
Mailing Address - Country:US
Mailing Address - Phone:909-285-9895
Mailing Address - Fax:
Practice Address - Street 1:5359 QUAIL RUN RD APT 218
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-7732
Practice Address - Country:US
Practice Address - Phone:909-285-9895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-22
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA33345103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health