Provider Demographics
NPI:1689327462
Name:CROPLEY, ALYSSA B (SLP-A)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:B
Last Name:CROPLEY
Suffix:
Gender:F
Credentials:SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 US HWY 1
Mailing Address - Street 2:
Mailing Address - City:BROOKTON
Mailing Address - State:ME
Mailing Address - Zip Code:04413-3118
Mailing Address - Country:US
Mailing Address - Phone:207-899-5739
Mailing Address - Fax:
Practice Address - Street 1:193 PORTER SETTLEMENT RD
Practice Address - Street 2:
Practice Address - City:HOULTON
Practice Address - State:ME
Practice Address - Zip Code:04730-3044
Practice Address - Country:US
Practice Address - Phone:207-329-0744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-01
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESAS34782355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant