| Doctor Name: | MRS. ALISA Y PREWITT |
| NPI Number: | 1164458568 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA-CCC/SLP |
| License Number: | 21346 |
| Business Practice Address: | 4055 Lankershim Blvd Studio City, CA - 916043416 |
| Business Phone Number: | 3239249464 |
| Business Fax Number: | 2813928239 |
| Mailing Address: | 4055 Lankershim Blvd Apt 317, STUDIO CITY |
| State: | CA |
| Postal Code: | 916043434 |
| Phone Number: | 3239249464 |
| Fax Number: | 2813928239 |
| NPI Enumeration Date: | 06/25/2006 |
| NPI Last Update Date: | 11/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 21346 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| 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 |