Provider Demographics
NPI:1457148223
Name:ROBY, ALYSHA RACHELLE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ALYSHA
Middle Name:RACHELLE
Last Name:ROBY
Suffix:
Gender:
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:ALYSHA
Other - Middle Name:RACHELLE
Other - Last Name:SIMONI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:717 SOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95503-5041
Mailing Address - Country:US
Mailing Address - Phone:707-441-2495
Mailing Address - Fax:
Practice Address - Street 1:717 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95503-5041
Practice Address - Country:US
Practice Address - Phone:707-441-2495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36206235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist