Provider Demographics
NPI:1760549273
Name:HOWELL, ALYSSA A (BA)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:A
Last Name:HOWELL
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273C W MAIN ST
Mailing Address - Street 2:APT 2
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-3883
Mailing Address - Country:US
Mailing Address - Phone:508-330-9613
Mailing Address - Fax:
Practice Address - Street 1:81 PLANTATION ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-3023
Practice Address - Country:US
Practice Address - Phone:508-849-5600
Practice Address - Fax:508-849-5617
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health