Individual
MRS. ALYSSA ANN PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2317 N MOUNT OLIVE ST, SILOAM SPRINGS, AR 72761-7070
(479) 755-4047
Mailing address
13211 E SUGAR HILL RD, LINCOLN, AR 72744-8020
(479) 790-0249
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4046
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200578350A
—
OK
05
—
206687721
—
AR
Enumeration date
11/17/2014
Last updated
07/07/2022
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