Provider Demographics
NPI:1427076322
Name:TSOI, ALICE KIM (PH D LMFT)
Entity type:Individual
Prefix:MS
First Name:ALICE
Middle Name:KIM
Last Name:TSOI
Suffix:
Gender:F
Credentials:PH D LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20045 STEVENS CREEK BLVD
Mailing Address - Street 2:SUITE 2E
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2353
Mailing Address - Country:US
Mailing Address - Phone:408-718-8890
Mailing Address - Fax:408-253-6389
Practice Address - Street 1:20045 STEVENS CREEK BLVD
Practice Address - Street 2:SUITE 2E
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2353
Practice Address - Country:US
Practice Address - Phone:408-718-8890
Practice Address - Fax:408-253-6389
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC29738103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist