Provider Demographics
NPI:1104429372
Name:RABOIN, ALYSSA (LMFT)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:RABOIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:DELTORO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 8722
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-0722
Mailing Address - Country:US
Mailing Address - Phone:401-383-2200
Mailing Address - Fax:401-256-5209
Practice Address - Street 1:1087 WARWICK AVE
Practice Address - Street 2:REAR UNIT
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-3545
Practice Address - Country:US
Practice Address - Phone:401-383-2200
Practice Address - Fax:401-256-5209
Is Sole Proprietor?:No
Enumeration Date:2020-11-19
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMFT00215106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist