Individual
ALYSSA ANTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
183 SMOCK DR, GREENWOOD, IN 46143-2438
(317) 884-3255
Mailing address
2231 ARDEN PL, GREENWOOD, IN 46143-8264
(317) 501-2032
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007045A
IN
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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