Provider Demographics
NPI:1578346979
Name:NAVAR, ALYSA RAE (MS CF-SLP)
Entity type:Individual
Prefix:MRS
First Name:ALYSA
Middle Name:RAE
Last Name:NAVAR
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:MS
Other - First Name:ALYSA
Other - Middle Name:RAE
Other - Last Name:MIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CF-SLP
Mailing Address - Street 1:1014 N STANTON ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4109
Mailing Address - Country:US
Mailing Address - Phone:915-230-2000
Mailing Address - Fax:
Practice Address - Street 1:1014 N STANTON ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4109
Practice Address - Country:US
Practice Address - Phone:915-230-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-17
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
TX120896251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty