National Provider Identifier
Alise Pangrazio, MS LIC/CCC-SLP TSSLD
Alise Pangrazio, MS LIC/CCC-SLP TSSLD is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Victor, NY and a listed phone number of (585) 924-7207.
Profile Overview
- NPI
- 1104390988
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- January 15, 2019
- Last Updated
- October 06, 2021
Practice Location
- 590 Fishers Station Dr Ste 130
- Victor, NY 14564-9744
Phone: (585) 924-7207
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1104390988
- Entity Type
- Individual
- Last Name
- Pangrazio
- First Name
- Alise
- Credential
- MS LIC/CCC-SLP TSSLD
- Mailing Street Address
- 590 Fishers Station Dr Ste 130
- Mailing City
- Victor
- Mailing State
- NY
- Mailing ZIP Code
- 14564-9744
- Mailing Country
- US
- Mailing Phone
- (585) 924-7202
- Practice Street Address
- 590 Fishers Station Dr Ste 130
- Practice City
- Victor
- Practice State
- NY
- Practice ZIP Code
- 14564-9744
- Practice Country
- US
- Practice Phone
- (585) 924-7207
- Enumeration Date
- January 15, 2019
- Last Updated
- October 06, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 06, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)