MEDICARE: ALYSSA STAPLES 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	LL61089912	WA

General Provider Information

NPI Number	:	1821695297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA STAPLES M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	2734 STRATFORD LN SW APT 2215
Second Line	:
City	:	TUMWATER
State	:	WA
Zip	:	98512-6009
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 E SPENCER LAKE RD
Second Line	:
City	:	SHELTON
State	:	WA
Zip	:	98584-7307
Country	:	US
Telephone Number	:	661-313-0854
Fax Number	:

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

Provider Enumeration Date	:	10/07/2020
Last Update Date	:	10/07/2020

Similar Medicare Providers

1902822570 — PIONEER SCHOOL DISTRICT
Practice Location Address:

110 E SPENCER LAKE RD
SHELTON, WA
98584-7307

Practice Phone: 360-427-2931
Practice Fax: 360-427-2933

1811254519 — MRS. NAOMI ELIZABETH MORK OTR/L
Practice Location Address:

112 E SPENCER LAKE RD
SHELTON, WA
98584-7307

Practice Phone: 562-445-7907
Practice Fax:

1114278223 — GAHLYA AUEL ED.S, NCSP
Practice Location Address:

110 E SPENCER LAKE RD
SHELTON, WA
98584-7307

Practice Phone: 360-427-2931
Practice Fax: 360-427-2933

1841628088 — MRS. LINDA JOHNSON RN
Practice Location Address:

110 E SPENCER LAKE RD
SHELTON, WA
98584-7307

Practice Phone: 360-427-2737
Practice Fax:

1306202908 — ELENA SAELI
Practice Location Address:

110 E SPENCER LAKE RD
SHELTON, WA
98584-7307

Practice Phone: 360-427-2737
Practice Fax:

1760961601 — MRS. ANNE-MARIE CHAPMAN MS, CCC-SLP
Practice Location Address:

112 E SPENCER LAKE RD
SHELTON, WA
98584-7307

Practice Phone: 360-426-9115
Practice Fax:

Directions to “ ALYSSA STAPLES 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 © 2007-2025 (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.