MEDICARE: ALYSSA NICOLE STEIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency		PA

General Provider Information

NPI Number	:	1841140423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA NICOLE STEIN

Provider Business Mailing Address
First Line	:	1093 DOUGLASS DR APT A
Second Line	:
City	:	BOYERTOWN
State	:	PA
Zip	:	19512-7620
Country	:	US
Telephone Number	:	610-750-1970
Fax Number	:

Provider Business Practice Location Address
First Line	:	1093 DOUGLASS DR APT A
Second Line	:
City	:	BOYERTOWN
State	:	PA
Zip	:	19512-7620
Country	:	US
Telephone Number	:	610-750-1970
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “ ALYSSA NICOLE STEIN ” Practice Location

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