Individual
ALISSA LEA GRISTWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TSHH
Contact information
Practice address
153 PINNACLE HILL RD, FULTON, NY 13069-4355
(315) 806-8166
Mailing address
153 PINNACLE HILL RD, FULTON, NY 13069-4355
(315) 806-8166
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
1256764
NY
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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