Provider Demographics
NPI:1386232320
Name:PAGLIAI, ALESSANDRO (MA)
Entity Type:Individual
Prefix:
First Name:ALESSANDRO
Middle Name:
Last Name:PAGLIAI
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 E GREEN ST STE 280
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-2419
Mailing Address - Country:US
Mailing Address - Phone:424-258-4582
Mailing Address - Fax:
Practice Address - Street 1:960 E GREEN ST STE 280
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-2419
Practice Address - Country:US
Practice Address - Phone:424-258-4582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CA134793106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist