MEDICARE: ALYSSA DUNPHEY

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	SZ6861	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700287521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA DUNPHEY

Provider Business Mailing Address
First Line	:	2050 40TH AVE STE 1
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-2467
Country	:	US
Telephone Number	:	772-567-0061
Fax Number	:	813-654-6644

Provider Business Practice Location Address
First Line	:	2050 40TH AVE STE 1
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-2467
Country	:	US
Telephone Number	:	772-567-0061
Fax Number	:	813-654-6644

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

Provider Enumeration Date	:	09/11/2014
Last Update Date	:	07/21/2022

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Directions to “ ALYSSA DUNPHEY ” Practice Location

Language	Start Address	Practice Location

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