Provider Demographics
NPI:1114397189
Name:ALVIS, JEWEL (SLPD, CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:JEWEL
Middle Name:
Last Name:ALVIS
Suffix:
Gender:F
Credentials:SLPD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 SPRING GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-6701
Mailing Address - Country:US
Mailing Address - Phone:913-306-1580
Mailing Address - Fax:
Practice Address - Street 1:2209 SPRING GARDEN ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-6701
Practice Address - Country:US
Practice Address - Phone:913-306-1580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-02
Last Update Date:2023-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist