Provider Demographics
NPI:1326568551
Name:STUMPF, ALYSSA KARAS (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:KARAS
Last Name:STUMPF
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1708 ATLANTIC ST APT 4F
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32951-2343
Mailing Address - Country:US
Mailing Address - Phone:321-247-8217
Mailing Address - Fax:321-574-4219
Practice Address - Street 1:1708 ATLANTIC ST APT 4F
Practice Address - Street 2:
Practice Address - City:MELBOURNE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32951-2343
Practice Address - Country:US
Practice Address - Phone:321-247-8217
Practice Address - Fax:321-574-4219
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-20
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ8075235Z00000X
FLSA16844235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty