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Alyssa Brooksher

Speech-Language Pathologist, in Clermont, GA. Individual provider (NPI-1).

NPI number1134858012
StatusActive
Last updated in NPPESJun 6, 2023

Details

NPI
1134858012
Entity type
Individual (NPI-1)
Name
Alyssa Brooksher
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 7, 2022
Certification date
Jun 6, 2023
Last updated
Jun 6, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,PCET003568GAYes

Practice location

130 Main St
Clermont, GA 30527-1804

Phone 679-616-3099

Mailing address

130 Main St
Clermont, GA 30527-1804

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Speech-Language Pathologist providers in Clermont, GA

All 8 Speech-Language Pathologist providers in Clermont · All 47 providers in Clermont

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