Alyssa Antone
Individual provider Active NPI Speech-Language Pathologist · Greenwood, IN
NPI 1861056822 · NPPES record last updated Apr 25, 2019
Key facts
- NPI
- 1861056822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22007045A (IN)
- Practice address
- 183 Smock Dr
Greenwood, IN 46143-2438 - Phone
- (317) 884-3255
- NPI assigned
- Apr 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 22007045A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22007045A | IN | Yes |
Addresses
Primary practice location
183 Smock Dr
Greenwood, IN 46143-2438
Mailing address
2231 Arden PL
Greenwood, IN 46143-8264
Phone (317) 501-2032
Other providers in Greenwood, IN
- Angela M. Tomlin, PH.D.
- Alexandria Lynn Angerer
- Asif Ansari
- Hannah Marie Anspaugh
- Allison Lee Antolin
- Leslie M Antonelli
- Elizabeth Connell Anttonen
- Apexgen Medical Billing LLC
- Sydney Apple
- Jenna Arbuckle
All providers in Greenwood, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2019. 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.