NPI 1750905428 · live from the CMS NPI Registry
Alyssa S Ailion, PhD
Clinical Neuropsychologist in Boston, MA. National Provider Identifier 1750905428, active.
NPI record
| NPI | 1750905428 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Clinical Neuropsychologist 103G00000X |
| Practice location | 300 Longwood Ave # Fegan9, Boston, MA 02115 |
| Practice phone | 617-355-7970 |
| Mailing address | 5500 39th St Nw, Washington, DC 20015 |
| Enumerated | May 29, 2020 |
| Last updated | May 29, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical | 103TC0700X | 06039 (MD) |
| Psychologist | 103T00000X | PSY1001555 (DC) |
| Psychologist | 103T00000X | — (MA) |
| Clinical Neuropsychologist primary | 103G00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.