Alyssa Stollberg, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Hooper, NE
NPI 1154879823 · NPPES record last updated May 16, 2022
Key facts
- NPI
- 1154879823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2016008030 (NE)
- Practice address
- 2163 County Road G
Hooper, NE 68031-1259 - Phone
- (402) 654-3317
- NPI assigned
- Sep 12, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016008030 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan View Public Schools | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2016008030 | NE | Yes |
Addresses
Primary practice location
2163 County Road G
Hooper, NE 68031-1259
Mailing address
2163 County Road G
Hooper, NE 68031-1259
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470523755 | Medicaid | NE |
Other names
- Alyssa Fox
Other providers in Hooper, NE
- Vickie Lynn Ruether
- Heather Ann Ruwe
- Bruce Patrick Schlaebitz
- Amanda Rochelle Sealey
- Laura Marilyn Shanks
- Christy Stout
- Sally Vogel
- VSL Hooper LLC
All providers in Hooper, NE · Speech-Language Pathologist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2022. 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.