Individual
ALYSSA SOUTHWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
919 RESERVE DR STE 140, ROSEVILLE, CA 95678-1346
(916) 237-7012
Mailing address
2501 HAYDEN PKWY APT 713, ROSEVILLE, CA 95747-9190
(916) 295-2349
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3868
CA
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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