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NPI Code Detail

MEDICARE: ALYSSA DUCHENE CCC-SLP

MEDICARE:   ALYSSA  DUCHENE  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 Pathologist

General Provider Information

NPI Number : 1952006090
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA DUCHENE CCC-SLP
Provider Business Mailing Address
First Line : 8101 BOAT CLUB RD STE 330
Second Line :
City : FORT WORTH
State : TX
Zip : 76179-3633
Country : US
Telephone Number : 682-498-3928
Fax Number : 214-935-2470
Provider Business Practice Location Address
First Line : 201 BILLINGS ST STE 490
Second Line :
City : ARLINGTON
State : TX
Zip : 76010-5401
Country : US
Telephone Number : 682-800-4620
Fax Number : 214-935-2470
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2023
Last Update Date : 03/30/2023

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Directions to “ ALYSSA DUCHENE CCC-SLP” Practice Location

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