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NPI Code Detail

MEDICARE: ALYSSA NICOLE CARNEY MA

MEDICARE:   ALYSSA NICOLE CARNEY  MA
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 Pathologist

General Provider Information

NPI Number : 1285307181
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA NICOLE CARNEY MA
Provider Business Mailing Address
First Line : 6060 TUCKERMAN LN
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-1402
Country : US
Telephone Number : 303-525-2984
Fax Number :
Provider Business Practice Location Address
First Line : 2375 TELSTAR DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-1028
Country : US
Telephone Number : 719-305-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2021
Last Update Date : 12/05/2022

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Directions to “ ALYSSA NICOLE CARNEY MA” Practice Location

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