Provider Demographics
NPI:1023497765
Name:WOOD, ALYSSA JUSTINE (DO/MBA)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:JUSTINE
Last Name:WOOD
Suffix:
Gender:F
Credentials:DO/MBA
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:JUSTINE
Other - Last Name:PRIGGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-6163
Mailing Address - Fax:319-356-2587
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-6163
Practice Address - Fax:319-356-2587
Is Sole Proprietor?:No
Enumeration Date:2015-05-27
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADO-050062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry