| Alyssa Canavan, | |
|
2019 E Front St, Logan, OH 43138-9678 | |
| (740) 385-8517 | |
| Not Available |
| Full Name | Alyssa Canavan |
|---|---|
| Gender | Female |
| Speciality | Psychologist - School |
| Location | 2019 E Front St, Logan, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114850120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | LSP.02301 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Canavan, 2019 E Front St, Logan, OH 43138-9678 Ph: (740) 385-8517 | Alyssa Canavan, 2019 E Front St, Logan, OH 43138-9678 Ph: (740) 385-8517 |
Marsha King, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2019 E Front St, Logan, OH 43138 Phone: 740-385-8517 | |
Nina Andrews, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2019 E Front St, Logan, OH 43138 Phone: 740-385-8517 |