Provider Demographics
NPI:1669783387
Name:PHELPS, ALESSI
Entity type:Individual
Prefix:
First Name:ALESSI
Middle Name:
Last Name:PHELPS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALESSI
Other - Middle Name:
Other - Last Name:ADORNETTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:117 HARDING RD
Mailing Address - Street 2:
Mailing Address - City:WEST VIEW
Mailing Address - State:PA
Mailing Address - Zip Code:15229-1112
Mailing Address - Country:US
Mailing Address - Phone:412-953-8505
Mailing Address - Fax:
Practice Address - Street 1:117 HARDING RD
Practice Address - Street 2:
Practice Address - City:WEST VIEW
Practice Address - State:PA
Practice Address - Zip Code:15229-1112
Practice Address - Country:US
Practice Address - Phone:412-953-8505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL009539235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist