Individual
ALYSSA LIBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
(812) 485-5639
Mailing address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
(812) 485-5639
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006617A
IN
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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