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
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 |
|---|---|---|---|
| SP3895 | ME | MD | Speech-Language Pathologist |
| 17344 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Achievement, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Coastal Pharmacies, LLC
- Coastal Pharmacies, LLC
- Allison Barbara Colman-Pinning
- County of Lincoln
- County of Lincoln
- Lana Marlene Davis
- Seaheart Crumpton Elan
- Shannon Everett
- Lee A Furlong
- Patricia Ann Garrick
All providers in Waldport, OR · Speech-Language Pathologist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2024. 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.