Individual
ALYSSA NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
3360 CHICHESTER AVE APT K20, UPPER CHICHESTER, PA 19061-3218
(484) 682-3926
Mailing address
16 IDELLA AVE, WILMINGTON, DE 19804-1661
(484) 682-3926
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL015819
PA
Other
Enumeration date
08/08/2021
Last updated
08/21/2024
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