Allyssa Marrie Burby
Individual provider Active NPI Marriage & Family Therapist · Springfield, MA
NPI 1194136390 · NPPES record last updated May 11, 2014
Key facts
- NPI
- 1194136390
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 130 Maple St
Suite 325
Springfield, MA 01103-2202 - Phone
- (413) 737-9544
- Fax
- (413) 737-4455
- NPI assigned
- May 11, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
130 Maple St
Suite 325
Springfield, MA 01103-2202
Mailing address
27 Champlain Ave
Springfield, MA 01151-1803
Phone (413) 636-2554
Other providers in Springfield, MA
- Alan Howard Bullock
- Emma Faith Bullock
- Sarah Bunker
- Martin E Bur
- Charles A Burbee
- Manjunath Burdekar
- April Burek
- Alane B. Burgess
- Sandra Diane Burgess
- Stephen Burgess
All providers in Springfield, MA · Marriage & Family Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.