Provider Demographics
NPI:1669211850
Name:BELLE, ALYSIA MONIQUE
Entity type:Individual
Prefix:
First Name:ALYSIA
Middle Name:MONIQUE
Last Name:BELLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 VERPLANCK LN
Mailing Address - Street 2:
Mailing Address - City:COHOES
Mailing Address - State:NY
Mailing Address - Zip Code:12047-4994
Mailing Address - Country:US
Mailing Address - Phone:917-246-1282
Mailing Address - Fax:
Practice Address - Street 1:15 VERPLANCK LN
Practice Address - Street 2:
Practice Address - City:COHOES
Practice Address - State:NY
Practice Address - Zip Code:12047-4994
Practice Address - Country:US
Practice Address - Phone:917-246-1282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1805617241103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool