Individual
ALYSSA OVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4559 BIRCHWOOD AVE, JACKSONVILLE, FL 32207-6405
(904) 553-7826
Mailing address
4559 BIRCHWOOD AVE, JACKSONVILLE, FL 32207-6405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146.010610
IL
235Z00000X
Speech-Language Pathologist
Primary
SA 6899
FL
Other
Enumeration date
07/11/2011
Last updated
05/14/2016
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