Provider Demographics
NPI:1881307791
Name:ALFELT, ANDERS (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANDERS
Middle Name:
Last Name:ALFELT
Suffix:
Gender:M
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 MOUNT PLEASANT RD
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANA
Mailing Address - State:PA
Mailing Address - Zip Code:17509-9761
Mailing Address - Country:US
Mailing Address - Phone:610-608-4582
Mailing Address - Fax:
Practice Address - Street 1:73 MOUNT PLEASANT RD
Practice Address - Street 2:
Practice Address - City:CHRISTIANA
Practice Address - State:PA
Practice Address - Zip Code:17509-9761
Practice Address - Country:US
Practice Address - Phone:610-608-4582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL013431235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist