Individual
MRS. ALYSSA TARYN GRISSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
500 7TH AVE S, SAINT PETERSBURG, FL 33701-4820
(727) 767-6734
Mailing address
3235 6TH AVE N, SAINT PETERSBURG, FL 33713-7615
(727) 385-0568
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
07/09/2007
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