Provider Demographics
NPI:1831929744
Name:MADIGAN, ALYSSA M (MS, LPC)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:M
Last Name:MADIGAN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 CHEYANNE ST
Mailing Address - Street 2:
Mailing Address - City:SUMMERHILL
Mailing Address - State:PA
Mailing Address - Zip Code:15958-3704
Mailing Address - Country:US
Mailing Address - Phone:814-341-0897
Mailing Address - Fax:
Practice Address - Street 1:26 CHEYANNE ST
Practice Address - Street 2:
Practice Address - City:SUMMERHILL
Practice Address - State:PA
Practice Address - Zip Code:15958-3704
Practice Address - Country:US
Practice Address - Phone:814-341-0897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA017340101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional