Provider Demographics
NPI:1689840308
Name:KAUFFMAN, ALISA A (MS)
Entity Type:Individual
Prefix:MS
First Name:ALISA
Middle Name:A
Last Name:KAUFFMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-843-9089
Mailing Address - Fax:717-843-6075
Practice Address - Street 1:924 COLONIAL AVE
Practice Address - Street 2:BLDG E
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3450
Practice Address - Country:US
Practice Address - Phone:717-843-9089
Practice Address - Fax:717-843-6075
Is Sole Proprietor?:No
Enumeration Date:2008-05-02
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000856L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAAT000856LOtherCOMMONWEALTH OF PA AUDIOLOGY LICENSE