National Provider Identifier
Alyssa Mae Fervan, MS CCC-SLP
Alyssa Mae Fervan, MS CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Elmira, NY and a listed phone number of (607) 739-3581.
Profile Overview
- NPI
- 1053081133
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 20, 2021
- Last Updated
- February 08, 2022
Practice Location
- 459 Philo RD
- Elmira, NY 14903-1051
Phone: (607) 739-3581
Mailing Address
- 134 Prescott Ave Apt B
- Elmira Heights, NY 14903-1774
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1053081133
- Entity Type
- Individual
- Last Name
- Fervan
- First Name
- Alyssa
- Middle Name
- Mae
- Credential
- MS CCC-SLP
- Mailing Street Address
- 134 Prescott Ave Apt B
- Mailing City
- Elmira Heights
- Mailing State
- NY
- Mailing ZIP Code
- 14903-1774
- Mailing Country
- US
- Practice Street Address
- 459 Philo RD
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14903-1051
- Practice Country
- US
- Practice Phone
- (607) 739-3581
- Enumeration Date
- September 20, 2021
- Last Updated
- February 08, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 08, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)