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General NPI Number Information
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NPI Number | 1851226633
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Entity Type | Individual
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Provider Name | ALLYSIA MCKENZIE JAMES M.A., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 36456 BELLE JOURNEE AVE
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City | GEISMAR
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State | LA
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Zip | 70734-3376
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Country | US
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Telephone | 504-416-8677
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Fax |
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Provider Business Mailing Address
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Address Line | 43454 N PINECREST ST
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City | GONZALES
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State | LA
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Zip | 70737-7533
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Country | US
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Telephone | 225-954-7640
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 9899
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License Number State | LA
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