Provider Demographics
NPI:1992009104
Name:WYSS, ALISON MARIE (AUD, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:MARIE
Last Name:WYSS
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:MARIE
Other - Last Name:WEISENBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD, CCC-A
Mailing Address - Street 1:911 E 86TH ST STE 35
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-1840
Mailing Address - Country:US
Mailing Address - Phone:317-731-5386
Mailing Address - Fax:317-705-2718
Practice Address - Street 1:911 E 86TH ST STE 35
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1840
Practice Address - Country:US
Practice Address - Phone:317-731-5386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-03
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002491A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist