Provider Demographics
NPI:1972113819
Name:LAPP, ALYSSA L (MS)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:L
Last Name:LAPP
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 STONE HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-3355
Mailing Address - Country:US
Mailing Address - Phone:970-691-4022
Mailing Address - Fax:
Practice Address - Street 1:317 STONE HOUSE RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-3355
Practice Address - Country:US
Practice Address - Phone:970-691-4022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health