| Doctor Name: | MRS. ALYSSA LIANA ESTORNELL |
| NPI Number: | 1265665426 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.,CCC/SLP |
| License Number: | SA5328 |
| Business Practice Address: | 2963 Werwood Ct Wellington, FL - 334147680 |
| Business Phone Number: | 5616357798 |
| Business Fax Number: | |
| Mailing Address: | 311 Lytle St, WEST PALM BEACH |
| State: | FL |
| Postal Code: | 334054619 |
| Phone Number: | 5615885162 |
| Fax Number: | |
| NPI Enumeration Date: | 09/03/2009 |
| NPI Last Update Date: | 09/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA5328 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |