Individual
ALISA HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
834 CHESTNUT ST, PH 206, PHILADELPHIA, PA 19107-5127
(732) 492-5626
Mailing address
834 CHESTNUT ST, PH 206, PHILADELPHIA, PA 19107-5127
(732) 492-5626
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012032
PA
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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