Provider Demographics
NPI:1477273423
Name:TUNS, ALESYA (MS)
Entity Type:Individual
Prefix:
First Name:ALESYA
Middle Name:
Last Name:TUNS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ALESYA
Other - Middle Name:
Other - Last Name:LESHCHINSKAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:10001 WOODCREEK OAKS BLVD UNIT 111
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-5100
Mailing Address - Country:US
Mailing Address - Phone:916-837-6552
Mailing Address - Fax:
Practice Address - Street 1:10001 WOODCREEK OAKS BLVD UNIT 111
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-5100
Practice Address - Country:US
Practice Address - Phone:916-837-6552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17055235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist