Individual
ALYSSA MISIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2450 44TH ST SE STE 201, KENTWOOD, MI 49512-9081
(616) 528-0870
(616) 591-5684
Mailing address
1303 COBB DR SE APT 3B, GRAND RAPIDS, MI 49508-7168
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000483
MI
Other
Enumeration date
06/05/2023
Last updated
02/14/2024
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