Alyssa Hall, MA., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

028205 Issued in NY

Practice address

105 Campus Dr
Oneonta, NY 13820-6175

Phone

(607) 286-7171

NPI assigned

Oct 1, 2018

Reactivated

Jan 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1225513724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CAMPUS DR",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138206175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CAMPUS DR",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138206175",
            "telephone_number": "607-286-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ALYSSA",
        "name_prefix": "Mrs.",
        "credential": "MA., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "deactivation_date": "2019-01-25",
        "reactivation_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "028205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "025205",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Marie Guardiano
• Jessica E Guenther, LMSW
• Amanda Gus, L.P.N.
• Lauren Marie Guse, FNP
• Heather Guzy, PHYSICIAN ASSISTANT
• Daniel S Haney, DC
• Hanger Prosthetics & Orthotics East, Inc.
• Mary Elizabeth Hansen, RN
• Rachel Wilson Hansen, OD
• Dawn Michelle Harmer

• Speech-Language Pathologist in Oneonta, NY
• Providers in Oneonta, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.