Provider Demographics
NPI:1740926310
Name:DR. ALYSSA MILOT TRAVERS LLC
Entity type:Organization
Organization Name:DR. ALYSSA MILOT TRAVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILOT TRAVERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:508-245-7938
Mailing Address - Street 1:40 GILL ST
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-3706
Mailing Address - Country:US
Mailing Address - Phone:508-245-7938
Mailing Address - Fax:
Practice Address - Street 1:745 HIGH ST STE 204
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-2535
Practice Address - Country:US
Practice Address - Phone:774-217-5708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty