Provider Demographics
NPI:1083302798
Name:HOYT, ALYSSA AILEEN
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:AILEEN
Last Name:HOYT
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 1:95 MARNE ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-3446
Mailing Address - Country:US
Mailing Address - Phone:650-580-2783
Mailing Address - Fax:
Practice Address - Street 1:1350 CONCOURSE AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-2010
Practice Address - Country:US
Practice Address - Phone:901-272-7179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling