Individual
ALYCIA E CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
884 SW WAKEETUM ST, WALDPORT, OR 97394-9165
(858) 245-7222
Mailing address
PO BOX 2047, WALDPORT, OR 97394-2047
(858) 245-7222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17344
OR
235Z00000X
Speech-Language Pathologist
SP3895
ME
Other
Enumeration date
11/14/2022
Last updated
04/12/2024
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