Provider Demographics
NPI:1558170423
Name:MARAGH-BASS, ALLYSHA CAMILLE (PHD, MPH, NBC-HWC)
Entity type:Individual
Prefix:DR
First Name:ALLYSHA
Middle Name:CAMILLE
Last Name:MARAGH-BASS
Suffix:
Gender:F
Credentials:PHD, MPH, NBC-HWC
Other - Prefix:DR
Other - First Name:ALLYSHA
Other - Middle Name:CAMILLE
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3405 OLNEY DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-5497
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3405 OLNEY DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-5497
Practice Address - Country:US
Practice Address - Phone:919-808-2724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-04
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach