MEDICARE: ALISSA HELMER CHRISMAN SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	102650	TX

General Provider Information

NPI Number	:	1487173449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISSA HELMER CHRISMAN SLP

Provider Business Mailing Address
First Line	:	23225 KINGSLAND BLVD STE 600
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-3705
Country	:	US
Telephone Number	:	281-395-9090
Fax Number	:

Provider Business Practice Location Address
First Line	:	5401 LA CROSSE AVE STE 101
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78739-2160
Country	:	US
Telephone Number	:	512-852-8134
Fax Number	:	512-852-8143

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2017
Last Update Date	:	09/11/2017

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Directions to “ ALISSA HELMER CHRISMAN SLP” Practice Location

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