Individual
ALLYSA STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
4820 W TAFT RD STE 202, LIVERPOOL, NY 13088-2806
(315) 552-0406
(315) 634-6230
Mailing address
365 RIDLEY RD, NEWARK, NY 14513-9107
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
031083
NY
Other
Enumeration date
09/28/2021
Last updated
02/10/2025
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