Organization
ALISSA HUGHES SLP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISSA HUGHES SLP (SPEECH LANGUAGE PATHOLOGIST)
(317) 345-1324
Entity
Organization
Contact information
Practice address
1212 SOUTHEASTERN AVE, INDIANAPOLIS, IN 46202-3948
(317) 660-1224
(855) 595-2585
Mailing address
14257 AUTUMN WOODS DRIVE, CARMEL, IN 46074
(317) 345-1324
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
251E00000X
Home Health Agency
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22006064A
SLP INDIANA STATE LICENSE
IN
Enumeration date
05/18/2022
Last updated
12/16/2022
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