Individual
ALYSSA ACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
11908 BRISTOL MANOR CT, NORTH BETHESDA, MD 20852-5804
(301) 881-1394
Mailing address
8340 GREENSBORO DR UNIT 704, MC LEAN, VA 22102-3545
(352) 949-3435
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08616
MD
Other
Enumeration date
10/15/2017
Last updated
10/12/2018
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