MEDICARE: ALYSSA BREANN BLACK 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
1	235Z00000X	Speech-Language Pathologist	SL013449	PA

General Provider Information

NPI Number	:	1538629779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA BREANN BLACK M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	450 LANTERN LN
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17201-3225
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2735 LUTHER DR
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17202-8131
Country	:	US
Telephone Number	:	814-506-4489
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2019
Last Update Date	:	03/29/2019

Similar Medicare Providers

1144203811 — SPIRITRUST LUTHERAN HOME CARE & HOSPICE
Practice Location Address:

2700 LUTHER DR
CHAMBERSBURG, PA
17202-8131

Practice Phone: 717-264-8178
Practice Fax: 717-264-6347

1417917097 — SPIRITRUST LUTHERAN HOME CARE & HOSPICE
Practice Location Address:

2700 LUTHER DR
CHAMBERSBURG, PA
17202-8131

Practice Phone: 717-264-8178
Practice Fax: 717-264-6347

1467070839 — MORGAN BROCKMAN
Practice Location Address:

2998 LUTHER DR
CHAMBERSBURG, PA
17202-8131

Practice Phone: 717-414-0908
Practice Fax:

1427717032 — BRIAN MATTHEW CLOUSE PTA
Practice Location Address:

2781 LUTHER DR
CHAMBERSBURG, PA
17202-8131

Practice Phone: 717-660-2482
Practice Fax:

1053068791 — MELISSA REGAL P.T.A.
Practice Location Address:

2700 LUTHER DR
CHAMBERSBURG, PA
17202-8131

Practice Phone: 855-211-0688
Practice Fax:

1316694789 — DEBORAH ZENTZ
Practice Location Address:

2700 LUTHER DR
CHAMBERSBURG, PA
17202-8131

Practice Phone: 717-264-3509
Practice Fax:

Directions to “ ALYSSA BREANN BLACK M.S. CCC-SLP” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.