Individual
ALYSSA JONAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4205 E WINNETKA DR, PHOENIX, AZ 85044-2719
(602) 410-3121
Mailing address
4205 E WINNETKA DR, PHOENIX, AZ 85044-2719
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA8911
AZ
235Z00000X
Speech-Language Pathologist
Primary
TSLP8911
AZ
Other
Enumeration date
07/02/2014
Last updated
03/11/2022
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