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NPI Code Detail

MEDICARE: ALYSSA RICCARDI FALBO-HILL MS, CCC-SLP

MEDICARE: ALYSSA RICCARDI FALBO-HILL MS, 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 PathologistSLP-1916WV

General Provider Information

NPI Number : 1831713395
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA RICCARDI FALBO-HILL MS, CCC-SLP
Provider Business Mailing Address
First Line : 217 MARIEL WAY
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-1599
Country : US
Telephone Number : 304-549-1190
Fax Number :
Provider Business Practice Location Address
First Line : 888 OAKWOOD RD STE 300
Second Line :
City : CHARLESTON
State : WV
Zip : 25314-2071
Country : US
Telephone Number : 304-549-1190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2020
Last Update Date : 06/01/2020

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