Individual
ALYSSA MIGNONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280D ROUTE 130 STE 7, FORESTDALE, MA 02644-1140
(508) 833-1060
Mailing address
640 MARSEILLE PATH, SAYVILLE, NY 11782-1347
(631) 873-5821
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
77004-SP-SL
MA
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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