Provider Demographics
NPI:1942454830
Name:O'KEEFE, ALYSA MARIE (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALYSA
Middle Name:MARIE
Last Name:O'KEEFE
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:MRS
Other - First Name:ALYSA
Other - Middle Name:MARIE
Other - Last Name:ROMEO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:53 STRATFORD PL
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-4666
Mailing Address - Country:US
Mailing Address - Phone:845-634-3936
Mailing Address - Fax:
Practice Address - Street 1:25 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-5468
Practice Address - Country:US
Practice Address - Phone:888-518-8716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014572235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist