Individual
ALYSSA PTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
4255 NORTHFIELD RD, HIGHLAND HILLS, OH 44128-2811
(216) 292-9700
(216) 378-4613
Mailing address
4255 NORTHFIELD RD, HIGHLAND HILLS, OH 44128-2811
(216) 292-9700
(216) 378-4613
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.2015239-SP
OH
Other
Enumeration date
02/04/2016
Last updated
01/27/2021
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