Individual
ALYSSA LUCKENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
5524 BEE CAVES RD, WEST LAKE HILLS, TX 78746-5245
(512) 327-4499
Mailing address
5524 BEE CAVES RD, WEST LAKE HILLS, TX 78746-5245
(512) 327-4499
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
110341
TX
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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