Individual
ALICE ALESSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS; CCC-SLP
Contact information
Practice address
13 N WASHINGTON ST, RANDOLPH, NY 14772-1207
(716) 358-2550
Mailing address
13 N WASHINGTON ST, RANDOLPH, NY 14772-1207
(716) 358-2550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
010056-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010056-1
NY LICENSE NUMBER
NY
Enumeration date
09/28/2010
Last updated
07/26/2012
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