Alyssa Coleman, M.A., NCSP
Psychologist, School in Magnolia, TX. Individual provider (NPI-1).
NPI number1164200218
StatusActive
Last updated in NPPESSep 19, 2023
Details
- NPI
- 1164200218
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Coleman
- Credential
- M.A., NCSP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2023
- Certification date
- Sep 19, 2023
- Last updated
- Sep 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | 34386 | TX | Yes |
Other names
- Alyssa Dietrich (Former Name)
Practice location
32100 Dobbin Huffsmith RdMagnolia, TX 77354-6389
Phone 936-297-0417 · Fax 832-218-5858
Mailing address
31318 Capella CirTomball, TX 77375-4076
Phone 281-734-1182
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