Alycia E Cummings

Individual provider Active NPI Speech-Language Pathologist · Waldport, OR

NPI 1245948702 · NPPES record last updated Apr 12, 2024

Key facts

NPI
1245948702
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
17344 (OR)
Practice address
884 SW Wakeetum St
Waldport, OR 97394-9165
Phone
(858) 245-7222
NPI assigned
Nov 14, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
SP3895MEMDSpeech-Language Pathologist
17344ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Achievement, LLC Current
since Jan 1, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP3895 ME
Speech-Language Pathologist 235Z00000X 17344 OR Yes

Addresses

Primary practice location

884 SW Wakeetum St
Waldport, OR 97394-9165

Mailing address

PO Box 2047
Waldport, OR 97394-2047
Phone (858) 245-7222

Other practice location 1

146 State House Sta
Augusta, ME 04333-9165
Phone (207) 624-6660

Other providers in Waldport, OR

All providers in Waldport, OR · Speech-Language Pathologist in Oregon

Sources for this page

Verify at the official NPI Registry.