Individual
ALYSSA WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
319 FRONT ST, JESSUP, PA 18434
(570) 335-2306
Mailing address
319 FRONT ST, JESSUP, PA 18434-1920
(570) 335-2306
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013091
PA
Other
Enumeration date
08/12/2019
Last updated
01/15/2020
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