Individual
ALYSSA PAIGE FAMULINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1932 LASSO CIR, COLUMBIA, MO 65201-4886
(660) 815-3959
Mailing address
1932 LASSO CIR, COLUMBIA, MO 65201-4886
(660) 815-3959
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2014028779
MO
Other
Enumeration date
01/30/2018
Last updated
03/17/2018
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