Provider Demographics
NPI:1124269246
Name:ALVAREZ, MARITZA BAEZ (PSYD)
Entity type:Individual
Prefix:DR
First Name:MARITZA
Middle Name:BAEZ
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6869 NAOMI AVE
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-1646
Mailing Address - Country:US
Mailing Address - Phone:562-805-8254
Mailing Address - Fax:
Practice Address - Street 1:2101 CAROL DR
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92833-3009
Practice Address - Country:US
Practice Address - Phone:562-805-8254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-19
Last Update Date:2021-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 22435103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical