Provider Demographics
NPI:1184973422
Name:TSUYUKI, ALYSIA JEAN (MS, LCGC)
Entity type:Individual
Prefix:
First Name:ALYSIA
Middle Name:JEAN
Last Name:TSUYUKI
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:ALYSIA
Other - Middle Name:JEAN
Other - Last Name:HILDEBRANDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LCGC
Mailing Address - Street 1:500 FOOTHILL DR
Mailing Address - Street 2:10P4E
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84148-0001
Mailing Address - Country:US
Mailing Address - Phone:801-582-1565
Mailing Address - Fax:801-582-0385
Practice Address - Street 1:615 S ARAPEEN DR
Practice Address - Street 2:#212
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84148-1267
Practice Address - Country:US
Practice Address - Phone:801-582-1565
Practice Address - Fax:801-582-0385
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-31
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8390537-3602170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS