Alyssa Maine, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL011145 Issued in PA

Practice address

18 Saint James St Apt B
Mansfield, PA 16933-1114

Phone

(814) 964-8586

NPI assigned

Sep 11, 2007

Last updated

Feb 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1063607257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SAINT JAMES ST APT B",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331114",
            "telephone_number": "814-964-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SAINT JAMES ST APT B",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331114",
            "telephone_number": "814-964-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINE",
        "first_name": "ALYSSA",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011145",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7394",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Rochelle Kohler, LCSW, CAADC
• George Daniel Koury, DC
• Kathryn Koury, D.M.D.
• Lisa Kunzmann, LSW
• Kathryne Grace Lutz, PA-C
• Bernard D Makos, LCSW
• James E. Manning IV, MD
• Mansfield Firemen's Ambulance Association Inc
• Mansfield Hearing Aid Center
• Martha Lloyd Community Residential Facility

• Speech-Language Pathologist in Mansfield, PA
• Providers in Mansfield, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.