Individual
MS. ALISSA MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1090 E 18TH ST, BROOKLYN, NY 11230-4406
(347) 372-9592
Mailing address
1090 E 18TH ST, BROOKLYN, NY 11230-4406
(347) 372-9592
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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