Provider Demographics
NPI:1144968439
Name:DEVEREUX, BRYNN ALYSSA
Entity type:Individual
Prefix:MRS
First Name:BRYNN
Middle Name:ALYSSA
Last Name:DEVEREUX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1544 FETTERS LOOP
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-6721
Mailing Address - Country:US
Mailing Address - Phone:469-781-4661
Mailing Address - Fax:
Practice Address - Street 1:1185 ARTHUR ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-3507
Practice Address - Country:US
Practice Address - Phone:469-781-4661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-25
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No175T00000XOther Service ProvidersPeer Specialist