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NPI Code Detail

MEDICARE: ALISON WICHROSKI

MEDICARE: ALISON WICHROSKI
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
1235Z00000XSpeech-Language Pathologist09128055NH
2235Z00000XSpeech-Language Pathologist0837NH

General Provider Information

NPI Number : 1588293930
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON WICHROSKI
Provider Business Mailing Address
First Line : 22 ROLLER COASTER RD
Second Line :
City : STRAFFORD
State : NH
Zip : 03884-6648
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 22 ROLLER COASTER RD
Second Line :
City : STRAFFORD
State : NH
Zip : 03884-6648
Country : US
Telephone Number : 603-664-2842
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2020
Last Update Date : 04/07/2020

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Directions to “ ALISON WICHROSKI ” Practice Location

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