Provider Demographics
NPI:1891207916
Name:WHINNA, ALYSSA (AUD)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:WHINNA
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 1:8100 SW 10TH ST STE 1000
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3277
Mailing Address - Country:US
Mailing Address - Phone:954-210-1141
Mailing Address - Fax:
Practice Address - Street 1:8100 SW 10TH ST STE 1000
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3277
Practice Address - Country:US
Practice Address - Phone:954-210-1141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-30
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006550231H00000X
FLAY2161231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist