Individual
ALYSSA MARY FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12304 SANTA MONICA BLVD STE 364, LOS ANGELES, CA 90025-1542
(303) 710-5631
Mailing address
3667 KEYSTONE AVE APT 532, LOS ANGELES, CA 90034-2652
(719) 355-5941
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
35637
CA
Other
Enumeration date
08/21/2023
Last updated
11/20/2023
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