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Individual

ALYSSA IVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11777 FM 1960 RD W, HOUSTON, TX 77065-3513
(832) 828-3552
Mailing address
11777 FM 1960 RD W, HOUSTON, TX 77065-3513

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113397
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113397
TEXAS DEPARTMENT OF LICENSING
TX
01
14177714
ASHA
TX
Enumeration date
11/20/2018
Last updated
11/20/2018
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