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NPI Code Detail

MEDICARE: ALISSA GORMLEY

MEDICARE: ALISSA GORMLEY
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 PathologistSP.12136OH

General Provider Information

NPI Number : 1649780982
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISSA GORMLEY
Provider Business Mailing Address
First Line : 3131 CELERON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45209-2103
Country : US
Telephone Number : 513-300-0088
Fax Number :
Provider Business Practice Location Address
First Line : 5435 KENWOOD RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-1328
Country : US
Telephone Number : 513-258-2815
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2017
Last Update Date : 09/30/2017

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Directions to “ ALISSA GORMLEY ” 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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