Individual
ALYSSA SUSAN CICERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1610 E. SUNSHINE STREET, SPRINGFIELD, MO 65804
(417) 523-7500
(417) 708-0889
Mailing address
94 N MAPLE ST, WARSAW, NY 14569-1235
(585) 469-3982
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
032019
NY
Other
Enumeration date
06/23/2016
Last updated
10/18/2022
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