Provider Demographics
NPI:1316566870
Name:MONAHAN, ALYSSA S
Entity Type:Individual
Prefix:MISS
First Name:ALYSSA
Middle Name:S
Last Name:MONAHAN
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 1:25 OLD CEDAR VLG
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-1063
Mailing Address - Country:US
Mailing Address - Phone:508-930-1356
Mailing Address - Fax:
Practice Address - Street 1:792 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-3137
Practice Address - Country:US
Practice Address - Phone:774-225-0006
Practice Address - Fax:617-663-6056
Is Sole Proprietor?:No
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No374J00000XNursing Service Related ProvidersDoula