Individual
ALYSSA RICEVUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
300 HEBRON AVE #202, GLASTONBURY, CT 06033
(860) 659-2759
(860) 657-9692
Mailing address
300 HEBRON AVE #202, GLASTONBURY, CT 06033
(860) 659-2759
(860) 657-9692
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY 1469
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001029000
—
FL
Enumeration date
03/27/2008
Last updated
12/06/2013
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