Provider Demographics
NPI:1447419429
Name:PYLES, ALYSON C (CCC-SLP)
Entity type:Individual
Prefix:
First Name:ALYSON
Middle Name:C
Last Name:PYLES
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 BROOKWOOD LOOP
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-8445
Mailing Address - Country:US
Mailing Address - Phone:509-392-9681
Mailing Address - Fax:
Practice Address - Street 1:209 BROOKWOOD LOOP
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-8445
Practice Address - Country:US
Practice Address - Phone:509-392-9681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP1116235Z00000X
AZSLP15667235Z00000X
WALL60150369235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist