Provider Demographics
NPI:1194248526
Name:DOUTHITT, ALYSSA BROOKE
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:BROOKE
Last Name:DOUTHITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3011 NW 56TH ST APT 6
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4249
Mailing Address - Country:US
Mailing Address - Phone:314-766-7775
Mailing Address - Fax:
Practice Address - Street 1:3011 NW 56TH ST APT 6
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4249
Practice Address - Country:US
Practice Address - Phone:314-766-7775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst