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Individual

ALYSEN ROSCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.,CCC-SLP/L

Contact information

Practice address
951 WASHINGTON AVE, TYRONE, PA 16686-1426
(814) 684-0320
Mailing address
314 MORNINGSIDE AVE, ALTOONA, PA 16602-3032
(814) 931-7685

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011494
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14046790
ASHA
01
SL011494
LICENSE
PA
Enumeration date
02/25/2015
Last updated
02/25/2015
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