Individual
ALYSA DILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 SPRINGBOARD DR, HERSHEY, PA 17033-8820
(717) 583-5102
Mailing address
1021 SPRINGBOARD DR, HERSHEY, PA 17033-8820
(717) 583-5102
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012266
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SL012266
STATE LICENSEE
PA
Enumeration date
09/04/2018
Last updated
09/04/2018
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