Dr Alyssa Roberson, PSYD is a
Psychologist - Forensic based in Pooler, Georgia. Dr Alyssa Roberson is licensed to practice in Georgia (license number PSY004453) and her current practice location is
131 Canal St Ste D, Pooler, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 988-3181.
NPI number for Dr Alyssa Roberson is 1114594207 and her current mailing address is 131 Canal St Ste D, Pooler, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114594207.
Healthcare Provider's Profile
| Full Name | Dr Alyssa Roberson |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Forensic |
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| Location | 131 Canal St Ste D, Pooler, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114594207
- Provider Enumeration Date: 06/07/2021
- Last Update Date: 06/25/2021
Medical Identifiers
Medical identifiers for Dr Alyssa Roberson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114594207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PSY004453 (Georgia) | Secondary |
| 103TH0100X | Psychologist - Health Service | PSY004453 (Georgia) | Secondary |
| 103TF0200X | Psychologist - Forensic | PSY004453 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alyssa Roberson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Alyssa Roberson, PSYD
131 Canal St Ste D,
Pooler, GA 31322-6019
Ph: (478) 697-1458 | Dr Alyssa Roberson, PSYD
131 Canal St Ste D,
Pooler, GA 31322-6019
Ph: (912) 988-3181 |
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