Provider Demographics
NPI:1104625359
Name:ALFIERI, ALYSON JENNIFER (MA)
Entity type:Individual
Prefix:
First Name:ALYSON
Middle Name:JENNIFER
Last Name:ALFIERI
Suffix:
Gender:
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4804 EAGLE ROCK RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-8617
Mailing Address - Country:US
Mailing Address - Phone:336-840-9120
Mailing Address - Fax:276-859-5853
Practice Address - Street 1:300 FRANKLIN ST STE 226
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-2163
Practice Address - Country:US
Practice Address - Phone:276-531-9523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704015412101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health