Individual
ALYSSA FAYE BLUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
440 N BROAD ST, PHILADELPHIA, PA 19130-4090
(215) 400-4000
Mailing address
440 N BROAD ST, PHILADELPHIA, PA 19130-4090
(215) 400-4000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL016991
PA
235Z00000X
Speech-Language Pathologist
Primary
SZ10561
FL
Other
Enumeration date
02/17/2022
Last updated
05/07/2026
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