Individual
ALYSSA BROOKE SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3470 CURITIBA CT, ALPHARETTA, GA 30022-1454
(917) 921-0449
Mailing address
3470 CURITIBA CT, ALPHARETTA, GA 30022-1454
(917) 921-0449
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006869
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
642871014A
—
GA
Enumeration date
07/03/2008
Last updated
10/05/2015
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