Individual
ALYSSA COLLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPAT, ATR-BC
Contact information
Practice address
1169 EASTERN PKWY STE 3360, LOUISVILLE, KY 40217-1415
(502) 767-0415
Mailing address
1169 EASTERN PKWY STE 3360, LOUISVILLE, KY 40217-1415
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
264716
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100806790
—
KY
Enumeration date
03/24/2022
Last updated
11/08/2023
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