Individual
MRS. ALYSSA ANN MARTIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S CCC-SLP
Contact information
Practice address
525 TYLER RD STE Q1, SAINT CHARLES, IL 60174-3360
(239) 561-2778
Mailing address
525 TYLER RD STE Q1, SAINT CHARLES, IL 60174-3360
(630) 444-0077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.014685
IL
235Z00000X
Speech-Language Pathologist
SZ8080
FL
Other
Enumeration date
01/05/2018
Last updated
01/07/2021
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