Provider Demographics
NPI:1053651703
Name:WARSHAY, ALYSSA (MA, BHRS)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:WARSHAY
Suffix:
Gender:F
Credentials:MA, BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 RIDGECREST CT APT 1517
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-7571
Mailing Address - Country:US
Mailing Address - Phone:248-506-0665
Mailing Address - Fax:
Practice Address - Street 1:8901 S SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-8413
Practice Address - Country:US
Practice Address - Phone:405-605-5757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-17
Last Update Date:2013-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMI-PSP0000000751303103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool