Individual
ALYSSA ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 W 75TH ST, SUITE 121, SHAWNEE MISSION, KS 66204-2209
(913) 362-7518
(913) 362-7302
Mailing address
22814 W 44TH ST, SHAWNEE, KS 66226-2515
(316) 518-4180
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3846
KS
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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