| Doctor Name: | MRS. ALICE RISLEY CORLEY |
| NPI Number: | 1992752802 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA.CCC.SLP |
| License Number: | 1202 |
| Business Practice Address: | 2495 Shreveport Hwy Vamc Speech Clinic (126) Pineville, LA - 71360 |
| Business Phone Number: | 3184662815 |
| Business Fax Number: | 3184835117 |
| Mailing Address: | 63 Ragan Dr, ALEXANDRIA |
| State: | LA |
| Postal Code: | 713032264 |
| Phone Number: | 3184872089 |
| Fax Number: | |
| NPI Enumeration Date: | 05/27/2006 |
| NPI Last Update Date: | 07/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 1202 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| 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 |