Individual
ALYSSA MARY BELLE WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
258B LAGUNA HONDA BLVD, SAN FRANCISCO, CA 94116-1409
(415) 702-6009
Mailing address
21 CORTLAND AVE, SAN FRANCISCO, CA 94110-5409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24685
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14093717
AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION
CA
Enumeration date
04/23/2019
Last updated
04/23/2019
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