Provider Demographics
NPI:1669099396
Name:STAMEY, ALYSSA LAYNE (CTRS)
Entity type:Individual
Prefix:MS
First Name:ALYSSA
Middle Name:LAYNE
Last Name:STAMEY
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7067 WAHOO CT
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-5537
Mailing Address - Country:US
Mailing Address - Phone:804-572-8834
Mailing Address - Fax:
Practice Address - Street 1:7067 WAHOO CT
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-5537
Practice Address - Country:US
Practice Address - Phone:804-572-8834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA83235225800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist