Individual
MS. ALYSSA KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13446 PRINCEDALE DR, WOODBRIDGE, VA 22193-3941
(571) 589-2646
Mailing address
13446 PRINCEDALE DR, WOODBRIDGE, VA 22193-3941
(571) 589-2646
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058431
—
VA
Enumeration date
08/27/2019
Last updated
08/27/2019
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