Individual
ALYSSA ANN WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3715 W 133RD ST, LEAWOOD, KS 66209-3347
(913) 213-3531
Mailing address
3715 W 133RD ST, LEAWOOD, KS 66209-3347
(913) 213-3531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5065
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235Z00000X
—
CO
Enumeration date
06/16/2020
Last updated
01/10/2023
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