Prewitt, Alisa Y
Prewitt, Alisa Y is an individual health care provider with primary practice located at 5850 Canoga Ave Ste 400 , Woodland Hills CA 91367-6554. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Prewitt, Alisa Y can be contacted via phone (323) 924-9464.Contact Information
Primary practice address
5850 Canoga Ave Ste 400
Woodland Hills CA 91367-6554
Phone: (323) 924-9464
Fax: (281) 392-8239
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 21346 | California |
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 100951 | Texas |
Profile Details
NPI number | 1164458568 |
---|---|
LBN Legal business name | Prewitt, Alisa Y |
Credentials | MA-CCC/SLP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 25th, 2006 |
Last updated | Jun 28th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164458568 | NPPES |
Texas | MEDICAID | 160513102 |
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