Provider Demographics
NPI:1982860052
Name:ENGLIS, ALYSSA SHARFSTEIN (SPEECH LANGUAGE PATH)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:SHARFSTEIN
Last Name:ENGLIS
Suffix:
Gender:F
Credentials:SPEECH LANGUAGE PATH
Other - Prefix:MRS
Other - First Name:ALYSSA
Other - Middle Name:SHARFSTEIN
Other - Last Name:ENGLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SPEECH LANGUAGE PATH
Mailing Address - Street 1:111 DODGE ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-1827
Mailing Address - Country:US
Mailing Address - Phone:978-921-1182
Mailing Address - Fax:
Practice Address - Street 1:111 DODGE ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1827
Practice Address - Country:US
Practice Address - Phone:978-921-1182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4751235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist