Individual
MISS ALYSSA HENCLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
15200 18TH AVE N, APT 12, PLYMOUTH, MN 55447-2418
(651) 280-5751
Mailing address
15200 18TH AVE N, APT 12, PLYMOUTH, MN 55447-2418
(651) 280-5751
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9486
MN
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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