Individual
MRS. ALYSSA GOBEL EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
137 OVERHILL DR, SUITE 102, MOORESVILLE, NC 28117-8006
(704) 799-6824
Mailing address
120 LYNNBROOK LN, MOORESVILLE, NC 28117-9092
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6331
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412301
—
NC
Enumeration date
04/25/2006
Last updated
07/08/2007
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