Provider Demographics
NPI:1275025876
Name:FARLEY, ALYSSA MCCARTHY (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:MCCARTHY
Last Name:FARLEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:ALYSSA
Other - Middle Name:ERIN
Other - Last Name:MCCARTHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:900 COMMONWEALTH AVENUE, SECOND FLOOR
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:908-444-6753
Mailing Address - Fax:
Practice Address - Street 1:900 COMMONWEALTH AVENUE, SECOND FLOOR
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:908-444-6753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-31
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11404103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical