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Alyssa Pearl Fitzgerald

Speech-Language Pathologist, in Winston Salem, NC. Individual provider (NPI-1).

NPI number1215768015
StatusActive
Last updated in NPPESAug 12, 2024

Details

NPI
1215768015
Entity type
Individual (NPI-1)
Name
Alyssa Pearl Fitzgerald
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 12, 2024
Certification date
Aug 12, 2024
Last updated
Aug 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

190 Moravian Way Dr
Winston Salem, NC 27106-3216

Phone 865-210-8374

Mailing address

10133 Sherrill Blvd Ste 200
Knoxville, TN 37932-3347

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