Provider Demographics
NPI:1386871804
Name:DRECUN, ALEKSANDRA CHATREN (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALEKSANDRA
Middle Name:CHATREN
Last Name:DRECUN
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 1:12526 HIGH BLUFF DR
Mailing Address - Street 2:STE. 300
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2064
Mailing Address - Country:US
Mailing Address - Phone:858-792-3541
Mailing Address - Fax:
Practice Address - Street 1:12526 HIGH BLUFF DR
Practice Address - Street 2:STE. 300
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-2064
Practice Address - Country:US
Practice Address - Phone:858-792-3541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY21778103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical