Alyssa Brooksher
Individual provider Active NPI Speech-Language Pathologist · Clermont, GA
NPI 1134858012 · NPPES record last updated Jun 6, 2023
Key facts
- NPI
- 1134858012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- PCET003568 (GA)
- Practice address
- 130 Main St
Clermont, GA 30527-1804 - Phone
- (679) 616-3099
- NPI assigned
- Jun 7, 2022
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PCET003568 | GA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | PCET003568 | GA | Yes |
Addresses
Primary practice location
130 Main St
Clermont, GA 30527-1804
Mailing address
130 Main St
Clermont, GA 30527-1804
Other providers in Clermont, GA
- Chloe Barrett
- Theresa Barrett
- Jennifer Lynn Bartlett
- Jordan Benfield
- Anna Matthews Black
- Theda Burchardt
- James L. Cannon
- Lori Allyson Cantrell
- Amy Elaine Crawford
- Tiffany Sims Dale
All providers in Clermont, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2023. 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.