Collina, Alyssa

Collina, Alyssa is an individual health care provider with primary practice located at 1169 Eastern Pkwy Ste 3360 , Louisville KY 40217-1415. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, which is considered as her primary health care specialty. Collina, Alyssa can be contacted via phone (502) 767-0415.

Contact Information

Primary practice address
1169 Eastern Pkwy Ste 3360 Louisville KY 40217-1415
Phone: (502) 767-0415
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 264716 Kentucky

Profile Details

NPI number 1982354007
LBN Legal business name Collina, Alyssa
Credentials LPAT, ATR-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2022
Last updated Nov 8th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982354007 NPPES
Kentucky MEDICAID 7100806790

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