Individual
ALYSSA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
5750 E HIGHWAY 90 STE 100, SIERRA VISTA, AZ 85635-9112
(520) 263-3700
Mailing address
215 MAY LOOP, FORT HUACHUCA, AZ 85613-1560
(720) 284-4095
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP10395
AZ
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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