Provider Demographics
NPI:1922130947
Name:TWCA INCORPORATED
Entity Type:Organization
Organization Name:TWCA INCORPORATED
Other - Org Name:TWCA INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISSA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCANLIN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:925-283-3902
Mailing Address - Street 1:6 LOIS LN
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-3057
Mailing Address - Country:US
Mailing Address - Phone:925-283-2421
Mailing Address - Fax:707-371-2433
Practice Address - Street 1:3468 MT DIABLO BLVD
Practice Address - Street 2:SUITE B203
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-3957
Practice Address - Country:US
Practice Address - Phone:925-283-3902
Practice Address - Fax:707-371-2433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 20873103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty