Doctor Name: | MS. SASHA VONCHA ALLS |
NPI Number: | 1104113174 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLPA |
License Number: | 4891 |
Business Practice Address: | 219 Gerald Dr Simpsonville, SC - 296814111 |
Business Phone Number: | 8647579920 |
Business Fax Number: | |
Mailing Address: | 114 Morninghill Dr, ORANGEBURG |
State: | SC |
Postal Code: | 291157791 |
Phone Number: | 8033789854 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2011 |
NPI Last Update Date: | 06/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 4891 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |