Provider Demographics
NPI:1659139293
Name:HAMILTON, ALYSSA ANNE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:ANNE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9A RIVER ST APT B24
Mailing Address - Street 2:
Mailing Address - City:NEWMARKET
Mailing Address - State:NH
Mailing Address - Zip Code:03857-1179
Mailing Address - Country:US
Mailing Address - Phone:207-615-9283
Mailing Address - Fax:
Practice Address - Street 1:21 MAIN STREET
Practice Address - Street 2:ANDROSCOGGIN VALLEY MEDICAL ARTS CENTER
Practice Address - City:LIVEMORE FALLS
Practice Address - State:ME
Practice Address - Zip Code:04254
Practice Address - Country:US
Practice Address - Phone:207-897-6601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPS2563103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical