Provider Demographics
NPI:1508224460
Name:TROXELL, ALISHA (SLP)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:TROXELL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14500 BUSTLETON AVE STE 1A
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-1188
Mailing Address - Country:US
Mailing Address - Phone:215-613-6523
Mailing Address - Fax:215-613-6527
Practice Address - Street 1:527 WRIGHTSTOWN SYKESVILLE RD
Practice Address - Street 2:
Practice Address - City:WRIGHTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08562-1530
Practice Address - Country:US
Practice Address - Phone:609-316-0195
Practice Address - Fax:215-613-6523
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-08
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00687900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist