Doctor Name: | ALYSSA KNEISLY |
NPI Number: | 1023439585 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 011441 |
Business Practice Address: | 919 E 32nd St Dept Of Rehabilitation - Speech Therapy Austin, TX - 787052703 |
Business Phone Number: | 4014020757 |
Business Fax Number: | |
Mailing Address: | 919 E 32nd St, Dept Of Rehabilitation - Speech Therapy AUSTIN |
State: | TX |
Postal Code: | 787052703 |
Phone Number: | 4014020757 |
Fax Number: | |
NPI Enumeration Date: | 12/30/2013 |
NPI Last Update Date: | 05/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 011441 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |