| NPI | 1730823204 |
|---|---|
| Former Name | ALYSSA M. CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 5496-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 1851) |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2023-10-20 |