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Individual

ALYSSA MEHLTRETTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
5544 MAIN ST, 2ND FLOOR, WILLIAMSVILLE, NY 14221-5406
(716) 580-3976
(716) 580-3978
Mailing address
5544 MAIN ST, 2ND FLOOR, WILLIAMSVILLE, NY 14221-5406
(716) 580-3976
(716) 580-3978

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
021777-1
NY
235Z00000X
Speech-Language Pathologist
Primary
NY

Other

Enumeration date
04/01/2012
Last updated
10/21/2016
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