Provider Demographics
NPI:1376422246
Name:THOMPSON, ALYSSA ANN (MA CF-SLP)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:ANN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MA CF-SLP
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:ANN
Other - Last Name:MORRISSEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA CF-SLP
Mailing Address - Street 1:5530 WEST PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-2258
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5530 WEST PKWY STE 300
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-2258
Practice Address - Country:US
Practice Address - Phone:515-419-4270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA133270235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist