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Individual

ALYSSA KARINA DOVALINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
1901 E 22ND ST, BROWNSVILLE, TX 78521-2956
(956) 542-8504
(956) 542-6510
Mailing address
1901 E 22ND ST, BROWNSVILLE, TX 78521-2956
(956) 542-8504
(956) 542-6510

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
35420
TX
235Z00000X
Speech-Language Pathologist
Primary
111748
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35420
STATE LICENSE
TX
05
3951782
TX
Enumeration date
06/02/2010
Last updated
06/15/2022
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