Individual
ALYSIA S MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
23 WARREN AVE, SUITE 130, WOBURN, MA 01801-7906
(781) 573-3277
(781) 933-0478
Mailing address
23 WARREN AVE., SUITE 130, WOBURN, MA 01801-1851
(781) 573-3277
(781) 933-0478
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
166183
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M12237
MEDICARE
MA
Enumeration date
04/07/2008
Last updated
12/31/2012
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