Individual
ALYSSA GOEDEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1524 W THOMAS ST APT 2, CHICAGO, IL 60642-4315
(314) 456-3488
Mailing address
1524 W THOMAS ST APT 2, CHICAGO, IL 60642-4315
(314) 456-3488
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.017551
IL
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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