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NPI Code Detail

MEDICARE: MRS. ALYSSA M SOGGE CCC-SLP

MEDICARE: MRS. ALYSSA M SOGGE 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 Pathologist1851ND
2235Z00000XSpeech-Language Pathologist5496-154WI

Other Identifiers

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

General Provider Information

NPI Number : 1730823204
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALYSSA M SOGGE CCC-SLP
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5225 23RD AVE S
Second Line :
City : FARGO
State : ND
Zip : 58104-7927
Country : US
Telephone Number : 701-417-2575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2022
Last Update Date : 04/03/2026

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Directions to “ MRS. ALYSSA M SOGGE CCC-SLP” Practice Location

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