Alyse Jeanine Eberhardt, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19531 Issued in CA

Practice address

1352 Broadway
San Francisco, CA 94109-2612

Phone

(183) 123-9558

NPI assigned

Nov 15, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1225507577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 BROADWAY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941092612",
            "telephone_number": "183-123-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 BROADWAY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941092612",
            "telephone_number": "183-123-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERHARDT",
        "first_name": "ALYSE",
        "middle_name": "JEANINE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence C. Eaton
• Susan Annette Eaton, PT
• Farha Naz Ebadi, DO
• Danelle Ebbel, L.AC.
• Eben Davis Chiropractic Corp
• David Frederick Eberhardt
• Carey Eberle, M.D.
• Miya Eberlein
• Alison Nicole Ebersole
• Joseph Ebinger

• Speech-Language Pathologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.