Provider Demographics
NPI:1194286930
Name:HAMMERS, ALYSSA JOAN
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:JOAN
Last Name:HAMMERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 HEATHER HEIGHTS CT
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-1501
Mailing Address - Country:US
Mailing Address - Phone:626-825-1345
Mailing Address - Fax:
Practice Address - Street 1:305 HEATHER HEIGHTS CT
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-1501
Practice Address - Country:US
Practice Address - Phone:626-825-1345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP28155235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist