Individual
ALYSSA M STOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP/L
Contact information
Practice address
201 W HAWTHORN PKWY, VERNON HILLS, IL 60061-1430
(847) 986-7023
Mailing address
201 W HAWTHORN PKWY, VERNON HILLS, IL 60061-1430
(847) 505-8813
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146009212
IL
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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