National Provider Identifier
Alyssa Z Bodine
Alyssa Z Bodine is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Clifton Springs, NY and a listed phone number of (585) 880-1053.
Profile Overview
- NPI
- 1295147460
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 22, 2014
- Last Updated
- October 01, 2018
Practice Location
- 1490 State Route 488
- Clifton Springs, NY 14432-9308
Phone: (585) 880-1053
Mailing Address
- 11 Palmyra St
- Shortsville, NY 14548-9329
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1295147460
- Entity Type
- Individual
- Last Name
- Bodine
- First Name
- Alyssa
- Middle Name
- Z
- Provider Other Last Name
- Zonneville
- Provider Other First Name
- Alyssa
- Provider Other Middle Name
- M
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 11 Palmyra St
- Mailing City
- Shortsville
- Mailing State
- NY
- Mailing ZIP Code
- 14548-9329
- Mailing Country
- US
- Mailing Phone
- (585) 880-1053
- Practice Street Address
- 1490 State Route 488
- Practice City
- Clifton Springs
- Practice State
- NY
- Practice ZIP Code
- 14432-9308
- Practice Country
- US
- Practice Phone
- (585) 880-1053
- Enumeration Date
- May 22, 2014
- Last Updated
- October 01, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)