Individual
MISS ALYSA CHRISTINE EBENHOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, CCC-SLP
Contact information
Practice address
2566 BALLTOWN RD, SCHENECTADY, NY 12309-1002
(518) 377-0156
Mailing address
2319 12TH AVE APT 2, WATERVLIET, NY 12189-1739
(518) 253-5740
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
028843
NY
Other
Enumeration date
07/09/2018
Last updated
04/23/2024
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