Healthcare Provider Details

I. General information

NPI: 1881902427
Provider Name (Legal Business Name): ALISSA KIEHLE PERTCHIK CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2010
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 GUILDERLAND AVE
SCHENECTADY NY
12306-4435
US

IV. Provider business mailing address

1550 VALENCIA RD
NISKAYUNA NY
12309-4215
US

V. Phone/Fax

Practice location:
  • Phone: 518-881-3980
  • Fax:
Mailing address:
  • Phone: 904-553-9732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number023287
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: