Individual
ALYSSA KAMIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
196 NORTH ST, GENEVA, NY 14456-1651
(315) 787-4570
Mailing address
196 NORTH ST, GENEVA, NY 14456-1651
(315) 787-4570
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
031765
NY
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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