Provider Demographics
NPI:1851160725
Name:BELL, ALICE DELIA
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:DELIA
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E REDLANDS BLVD STE 285
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-4721
Mailing Address - Country:US
Mailing Address - Phone:909-307-5777
Mailing Address - Fax:909-307-5776
Practice Address - Street 1:101 E REDLANDS BLVD STE 285
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-4721
Practice Address - Country:US
Practice Address - Phone:909-307-5777
Practice Address - Fax:909-307-5776
Is Sole Proprietor?:No
Enumeration Date:2023-12-20
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA143382106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist