Provider Demographics
NPI:1578283743
Name:GUTHRIE, ALYSSA (SLP)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:GUTHRIE
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 1:6363 S PECOS RD STE 104
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-6291
Mailing Address - Country:US
Mailing Address - Phone:702-565-5011
Mailing Address - Fax:702-565-5012
Practice Address - Street 1:6363 S PECOS RD STE 104
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-6291
Practice Address - Country:US
Practice Address - Phone:702-565-5011
Practice Address - Fax:702-565-5012
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist