Provider Demographics
NPI:1841811361
Name:HORTON, ALYSSA DIANE (MSED)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:DIANE
Last Name:HORTON
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 E EVANS AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-5023
Mailing Address - Country:US
Mailing Address - Phone:720-355-1081
Mailing Address - Fax:866-817-1606
Practice Address - Street 1:4400 E EVANS AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5023
Practice Address - Country:US
Practice Address - Phone:720-355-1081
Practice Address - Fax:866-817-1606
Is Sole Proprietor?:No
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist