Individual
ALYSSA BREANN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2735 LUTHER DR, CHAMBERSBURG, PA 17202-8131
(814) 506-4489
Mailing address
450 LANTERN LN, CHAMBERSBURG, PA 17201-3225
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013449
PA
Other
Enumeration date
03/22/2019
Last updated
03/29/2019
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