Alyssa Michaletz
Speech-Language Pathologist, in Saint Paul, MN. Individual provider (NPI-1).
NPI number1982116273
StatusActive
Last updated in NPPESApr 29, 2022
Details
- NPI
- 1982116273
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Michaletz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2017
- Certification date
- Apr 29, 2022
- Last updated
- Apr 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 518179 | MN | Yes |
| 235Z00000X | Speech-Language Pathologist, | 4494-154 | WI |
Other names
- Alyssa Wild (Former Name)
Practice location
401 Phalen BlvdSaint Paul, MN 55130-5302
Phone 651-254-3200 · Fax 651-254-7710
Mailing address
8170 33rd Ave SMs 21110q
Bloomington, MN 55425-4516
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All 237 Speech-Language Pathologist providers in Saint Paul · All 12,912 providers in Saint Paul
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