Individual
ALLYSSA KATHERINE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 W OAK ST, LODI, CA 95240-3401
(919) 710-9229
Mailing address
311 W OAK ST, LODI, CA 95240-3401
(919) 710-9229
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
39300
CA
235Z00000X
Speech-Language Pathologist
Primary
8000
SC
Other
Enumeration date
07/06/2022
Last updated
06/02/2026
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