Sasha Voncha Alls, SLPA

Individual provider Active NPI Speech-Language Assistant · Simpsonville, SC

NPI 1104113174 · NPPES record last updated Jun 29, 2011

Key facts

NPI
1104113174
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
4891 (SC)
Practice address
219 Gerald Dr
Simpsonville, SC 29681-4111
Phone
(864) 757-9920
NPI assigned
Jun 29, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4891SCMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 4891 SC Yes

Addresses

Primary practice location

219 Gerald Dr
Simpsonville, SC 29681-4111

Mailing address

114 Morninghill Dr
Orangeburg, SC 29115-7791
Phone (803) 378-9854

Other providers in Simpsonville, SC

All providers in Simpsonville, SC · Speech-Language Assistant in South Carolina

Sources for this page

Verify at the official NPI Registry.