Most Relevant Information
Provider Data
| NPI Number: | 1003561382 |
| Provider Name: | ALYSSA HUSSEY |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: | SS1499 |
Most Important Dates
| Enumeration Date: | 02/15/2022 |
| Last Updated: | 02/15/2022 |
Provider Practice Location
621 E VALLEY DR
BONITA SPRINGS
FL
341347432
Practice Location Phone/Fax
| Phone: | 2397777633 |
| Fax: |
Provider Mailing Location
621 E VALLEY DR
BONITA SPRINGS
FL
341347432
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |