MEDICARE: ALYSSA CALDWELL 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	123727	TX

General Provider Information

NPI Number	:	1831803683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA CALDWELL CCC-SLP

Provider Business Mailing Address
First Line	:	900 BARTON CREEK DR
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-3715
Country	:	US
Telephone Number	:	512-704-4905
Fax Number	:

Provider Business Practice Location Address
First Line	:	10200 HIGHWAY 290 W STE 101
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78736-7723
Country	:	US
Telephone Number	:	512-710-6861
Fax Number	:

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

Provider Enumeration Date	:	01/06/2023
Last Update Date	:	06/22/2026

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Directions to “ ALYSSA CALDWELL CCC-SLP” Practice Location

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