Provider Demographics
NPI:1649600743
Name:MATHER, ALYSON MAYER (DC)
Entity Type:Individual
Prefix:DR
First Name:ALYSON
Middle Name:MAYER
Last Name:MATHER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3005 BANCROFT DR
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91977
Mailing Address - Country:US
Mailing Address - Phone:619-784-5052
Mailing Address - Fax:619-232-7046
Practice Address - Street 1:1281 UNIVERSITY AVE.
Practice Address - Street 2:SUITE E
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103
Practice Address - Country:US
Practice Address - Phone:619-784-5052
Practice Address - Fax:619-232-7046
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-26
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32419111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor