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NPI Code Detail

MEDICARE: ALYSSA TERESA URBAN

MEDICARE: ALYSSA TERESA URBAN
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 : 1306778550
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA TERESA URBAN
Provider Business Mailing Address
First Line : 913 OLD BERWICK RD
Second Line :
City : BLOOMSBURG
State : PA
Zip : 17815-2909
Country : US
Telephone Number : 570-251-1635
Fax Number :
Provider Business Practice Location Address
First Line : 8020 RIVER STONE DR
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22407-8761
Country : US
Telephone Number : 540-834-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ ALYSSA TERESA URBAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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