Individual
ALYSSA GIDEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
905 NORTHWOOD DR, ROCKVILLE, IN 47872-1236
(765) 592-5884
(765) 592-5884
Mailing address
905 NORTHWOOD DR, ROCKVILLE, IN 47872-1236
(765) 592-5884
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006243A
IN
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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