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NPI Code Detail

MEDICARE: MRS. ALYSSA C. DOZAL M.S., CCC-SLP

MEDICARE: MRS. ALYSSA C. DOZAL 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 Pathologist109978TX

General Provider Information

NPI Number : 1538648191
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALYSSA C. DOZAL M.S., CCC-SLP
Provider Business Mailing Address
First Line : 1001 CENTRAL BLVD
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78520-7533
Country : US
Telephone Number : 956-541-0917
Fax Number :
Provider Business Practice Location Address
First Line : 1001 CENTRAL BLVD
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78520-7533
Country : US
Telephone Number : 956-541-0917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 08/14/2018

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Directions to “ MRS. ALYSSA C. DOZAL M.S., CCC-SLP” Practice Location

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