Individual
ALYSSA O'DEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9840 ALTERNATE A1A STE 402, PALM BEACH GARDENS, FL 33410-4934
(561) 906-8674
Mailing address
3350 JAYWOOD TER, BOCA RATON, FL 33431-3836
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI3456
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SI3456
—
FL
Enumeration date
04/10/2019
Last updated
06/11/2019
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