Individual
MRS. ALYSSA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2309 S SERVICE RD W, RUSTON, LA 71270-3167
(318) 232-1969
Mailing address
PO BOX 481, BERNICE, LA 71222-0481
(318) 478-2270
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7052
LA
Other
Enumeration date
01/27/2020
Last updated
02/08/2025
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