Provider Demographics
NPI:1659724730
Name:PAOLINI, ALYSON CHRISTINE FARGHER (MA CFY-SLP)
Entity Type:Individual
Prefix:
First Name:ALYSON
Middle Name:CHRISTINE FARGHER
Last Name:PAOLINI
Suffix:
Gender:F
Credentials:MA CFY-SLP
Other - Prefix:
Other - First Name:ALYSON
Other - Middle Name:CHRISTINE
Other - Last Name:FARGHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:690 OTAY LAKES RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-8904
Mailing Address - Country:US
Mailing Address - Phone:619-475-6910
Mailing Address - Fax:
Practice Address - Street 1:690 OTAY LAKES RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-8904
Practice Address - Country:US
Practice Address - Phone:619-475-6910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-13
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist