Provider Demographics
NPI:1659742708
Name:ALVAREZ, ALYSSA LYNNE (SLP)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:LYNNE
Last Name:ALVAREZ
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 1:21001 SW 132ND CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-6226
Mailing Address - Country:US
Mailing Address - Phone:305-970-4347
Mailing Address - Fax:
Practice Address - Street 1:6161 WATERFORD DISTRICT DR STE 150
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2024
Practice Address - Country:US
Practice Address - Phone:866-919-1324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-15
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist