Provider Demographics
NPI:1689923450
Name:BUZIAK, ALYSSA CLAIRE (MS, SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:CLAIRE
Last Name:BUZIAK
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:MS
Other - First Name:ALYSSA
Other - Middle Name:CLAIRE
Other - Last Name:MILLOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, SLP
Mailing Address - Street 1:132 TIMBERLANE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15229-1059
Mailing Address - Country:US
Mailing Address - Phone:814-823-5566
Mailing Address - Fax:
Practice Address - Street 1:132 TIMBERLANE DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15229-1059
Practice Address - Country:US
Practice Address - Phone:814-823-5566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2023-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL010957235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102769210-0002Medicaid