Provider Demographics
NPI:1588281976
Name:MINEO, ALYSSA ANN (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:ANN
Last Name:MINEO
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 FONDREN RD STE 312
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2323
Mailing Address - Country:US
Mailing Address - Phone:954-937-2597
Mailing Address - Fax:
Practice Address - Street 1:9757 PINE LAKE DR APT 1059
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6151
Practice Address - Country:US
Practice Address - Phone:757-206-2772
Practice Address - Fax:757-296-2263
Is Sole Proprietor?:No
Enumeration Date:2020-07-01
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS019045103TC0700X
TX39557103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical