Alyssa Marie Dixon
Individual provider Active NPI Speech-Language Pathologist · Blasdell, NY
NPI 1083546006 · NPPES record last updated Jun 2, 2026
Key facts
- NPI
- 1083546006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 28984 (CA)
- Practice address
- 3152 Cambridge SQ S Apt D
Blasdell, NY 14219-1325 - Phone
- (716) 316-7758
- NPI assigned
- Jun 2, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28984 | CA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 031859 | NY | |
| Speech-Language Pathologist | 235Z00000X | 28984 | CA | Yes |
Addresses
Primary practice location
3152 Cambridge SQ S Apt D
Blasdell, NY 14219-1325
Mailing address
3152 Cambridge SQ S Apt D
Blasdell, NY 14219-1325
Other providers in Blasdell, NY
- Donald S. Daly
- Lynn Marie Daly
- Jule Diana
- Paul Richard Dilauro
- Stacie Dipasquale
- Ann Druzbik
- Michael Thomas Dulak
- William Scott Dunlap
- Caitlin Irene Embury
- Ronald Ernewein
All providers in Blasdell, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.