Alysse Nicole Boydston
Individual provider Active NPI Speech-Language Pathologist · Cadillac, MI
NPI 1811689656 · NPPES record last updated May 22, 2023
Key facts
- NPI
- 1811689656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 704 Oak St Ste 100
Cadillac, MI 49601-2386 - Phone
- (231) 876-7443
- NPI assigned
- May 22, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
704 Oak St Ste 100
Cadillac, MI 49601-2386
Mailing address
704 Oak St Ste 100
Cadillac, MI 49601-2386
Other providers in Cadillac, MI
- Jonathon Eugene Borton
- Ashlee R Bosscher
- Sydney Elizabeth Jo Bousquet
- Angela June Boven
- Kent Calvin Bowden
- Ellen Deette Boyer
- Shirley K Boyer
- Madison Brandt
- Dannica Gail Bregg
- Richard Michael Brenz
All providers in Cadillac, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2023. 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.