Provider Demographics
NPI:1871150003
Name:VANDERVEEN, ALYSSA STEINWEIS (AUD)
Entity type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:STEINWEIS
Last Name:VANDERVEEN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 BRYAN DAIRY RD STE 340
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33777-1365
Mailing Address - Country:US
Mailing Address - Phone:727-398-5728
Mailing Address - Fax:
Practice Address - Street 1:8200 BRYAN DAIRY RD STE 340
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33777-1365
Practice Address - Country:US
Practice Address - Phone:727-398-5728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist