Healthcare Provider Details

I. General information

NPI: 1528606738
Provider Name (Legal Business Name): ALESSANDRA CHRISTINE FRISSORA-POSTON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2019
Last Update Date: 10/24/2022
Certification Date: 10/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 FEDERAL ST STE 307
SALEM MA
01970-3860
US

IV. Provider business mailing address

8 WALNUT LN
WENHAM MA
01984-1630
US

V. Phone/Fax

Practice location:
  • Phone: 978-500-9034
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number11582
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: