National Provider Identifier
Alissa L Waughtel
Alissa L Waughtel is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Farmington, NY and a listed phone number of (315) 882-4490.
Profile Overview
- NPI
- 1922345255
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- January 07, 2013
- Last Updated
- August 15, 2024
Practice Location
- 5990 Ivory Dr
- Farmington, NY 14425-9073
Phone: (315) 882-4490
Specialties
- Speech-Language Pathologist (235Z00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1922345255
- Entity Type
- Individual
- Last Name
- Waughtel
- First Name
- Alissa
- Middle Name
- L
- Mailing Street Address
- 5990 Ivory Dr
- Mailing City
- Farmington
- Mailing State
- NY
- Mailing ZIP Code
- 14425-9073
- Mailing Country
- US
- Mailing Phone
- (315) 882-4490
- Practice Street Address
- 5990 Ivory Dr
- Practice City
- Farmington
- Practice State
- NY
- Practice ZIP Code
- 14425-9073
- Practice Country
- US
- Practice Phone
- (315) 882-4490
- Enumeration Date
- January 07, 2013
- Last Updated
- August 15, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 15, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Student in an Organized Health Care Education/Training Program (390200000X)