Provider Demographics
NPI:1801308796
Name:HEBA, ALYSSA MICHELLE (MA)
Entity type:Individual
Prefix:MS
First Name:ALYSSA
Middle Name:MICHELLE
Last Name:HEBA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1928 RAY ALEXANDER DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-1826
Mailing Address - Country:US
Mailing Address - Phone:336-708-7055
Mailing Address - Fax:
Practice Address - Street 1:350 HOLLY HILL LN STE A
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5691
Practice Address - Country:US
Practice Address - Phone:336-350-9263
Practice Address - Fax:336-350-9264
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist