Individual
ALYSSA MAE FERVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
459 PHILO RD, ELMIRA, NY 14903-1051
(607) 739-3581
Mailing address
134 PRESCOTT AVE APT B, ELMIRA HEIGHTS, NY 14903-1774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
031074
NY
Other
Enumeration date
09/20/2021
Last updated
02/08/2022
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