Provider Demographics
NPI:1063055770
Name:MARLEY, ALYSSA MARIA (ND)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:MARIA
Last Name:MARLEY
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 OAK GROVE AVE UNIT 130
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-6133
Mailing Address - Country:US
Mailing Address - Phone:908-392-2719
Mailing Address - Fax:
Practice Address - Street 1:875 GREENLAND RD UNIT B11
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4162
Practice Address - Country:US
Practice Address - Phone:603-945-8119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-25
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0028175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath