Provider Demographics
NPI:1487087458
Name:SHWEKY, ALYSSA (MS SLP TSSLD)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:SHWEKY
Suffix:
Gender:F
Credentials:MS SLP TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2094 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-4037
Mailing Address - Country:US
Mailing Address - Phone:917-797-5124
Mailing Address - Fax:
Practice Address - Street 1:2094 E 4TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-4037
Practice Address - Country:US
Practice Address - Phone:917-797-5124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist