Individual
ALYSSA LIUSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
697 MENLO AVE, MENLO PARK, CA 94025-4766
(650) 733-3599
Mailing address
697 MENLO AVE, MENLO PARK, CA 94025-4766
(650) 733-3599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
40074
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40074
SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY AND HEARING AID DISPENSERS BOARD
CA
Enumeration date
08/27/2025
Last updated
08/27/2025
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