Individual
ALYSSA JEAN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 377-4660
Mailing address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 377-4660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
023820
NY
Other
Enumeration date
06/06/2013
Last updated
02/16/2017
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