Provider Demographics
NPI:1619649233
Name:MAPILI, ALYSSA R (SLPA)
Entity Type:Individual
Prefix:MS
First Name:ALYSSA
Middle Name:R
Last Name:MAPILI
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4004 S VERMONT AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90037-1976
Mailing Address - Country:US
Mailing Address - Phone:323-230-5562
Mailing Address - Fax:
Practice Address - Street 1:4004 S VERMONT AVE STE 6
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90037-1976
Practice Address - Country:US
Practice Address - Phone:323-230-5562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty