Individual
ALYSSA BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1968 BRUIN PL, CHESAPEAKE, VA 23321-4576
(757) 638-7900
Mailing address
2704 BURNING TREE LN, SUFFOLK, VA 23435-2800
(757) 620-9285
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000695
VA
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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