Provider Demographics
NPI:1770737074
Name:THORNTON, ALYCIA (MA)
Entity type:Individual
Prefix:MS
First Name:ALYCIA
Middle Name:
Last Name:THORNTON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 CENTRE ST
Mailing Address - Street 2:HB101 BOX B12
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1400
Mailing Address - Country:US
Mailing Address - Phone:351-201-9896
Mailing Address - Fax:978-560-0160
Practice Address - Street 1:130 CENTRE ST STE HB-101
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1683
Practice Address - Country:US
Practice Address - Phone:351-201-9896
Practice Address - Fax:978-560-0160
Is Sole Proprietor?:No
Enumeration Date:2008-11-13
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health