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NPI Code Detail

MEDICARE: ALYSSA KAY CHAMBLISS M.S., CCC-SLP

MEDICARE: ALYSSA KAY CHAMBLISS M.S., CCC-SLP
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 Pathologist285825KY

General Provider Information

NPI Number : 1396519112
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA KAY CHAMBLISS M.S., CCC-SLP
Provider Business Mailing Address
First Line : 90 HOWARD DR
Second Line :
City : SHELBYVILLE
State : KY
Zip : 40065-8138
Country : US
Telephone Number : 502-633-1007
Fax Number :
Provider Business Practice Location Address
First Line : 90 HOWARD DR
Second Line :
City : SHELBYVILLE
State : KY
Zip : 40065-8138
Country : US
Telephone Number : 502-633-1007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2023
Last Update Date : 02/28/2026

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Directions to “ ALYSSA KAY CHAMBLISS M.S., CCC-SLP” Practice Location

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