Provider Demographics
NPI:1942768924
Name:ALYSSA AMBER SPEECH SERVICES
Entity Type:Organization
Organization Name:ALYSSA AMBER SPEECH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CCC-SLP / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRINZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-826-9028
Mailing Address - Street 1:14012 PEACH ORCHARD WAY
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-5616
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14012 PEACH ORCHARD WAY
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-5616
Practice Address - Country:US
Practice Address - Phone:239-826-9028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty