Provider Demographics
NPI:1962447086
Name:ALPERT, RENEE DEBORAH (PHD)
Entity Type:Individual
Prefix:DR
First Name:RENEE
Middle Name:DEBORAH
Last Name:ALPERT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3610 E WOODBINE RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-2069
Mailing Address - Country:US
Mailing Address - Phone:714-557-3742
Mailing Address - Fax:714-283-3032
Practice Address - Street 1:1651 E 4TH ST STE 230
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-5169
Practice Address - Country:US
Practice Address - Phone:714-557-3742
Practice Address - Fax:714-283-3032
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY9036103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP9036AMedicare ID - Type Unspecified