Provider Demographics
NPI:1477899631
Name:HANSON, ALYSSA MARIE-FIORE (LMFT)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:MARIE-FIORE
Last Name:HANSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:MARIE
Other - Last Name:FIORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:1092 CHOPMIST HILL RD
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:RI
Mailing Address - Zip Code:02857-1046
Mailing Address - Country:US
Mailing Address - Phone:401-578-5820
Mailing Address - Fax:
Practice Address - Street 1:21 COLLEGE HILL RD FL 2
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2745
Practice Address - Country:US
Practice Address - Phone:401-702-4191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-17
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001703106H00000X
390200000X
RIMFT00172106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program