Individual
ALLYSSA SARAH JEAN LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CF-SLP
Contact information
Practice address
6901 BURT ST, OMAHA, NE 68132-2643
(402) 557-4300
Mailing address
4312 CHICAGO ST, OMAHA, NE 68131-2217
(402) 830-0415
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
600
NE
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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