MEDICARE: MRS. ALISA RENEE STEERS 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	16797	CA

General Provider Information

NPI Number	:	1992933790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALISA RENEE STEERS CCC-SLP

Provider Business Mailing Address
First Line	:	2744 S BARRINGTON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-3611
Country	:	US
Telephone Number	:	310-753-5312
Fax Number	:

Provider Business Practice Location Address
First Line	:	2744 S BARRINGTON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-3611
Country	:	US
Telephone Number	:	310-753-5312
Fax Number	:

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

Provider Enumeration Date	:	06/30/2009
Last Update Date	:	06/30/2009

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