Moon, Alysia S
Moon, Alysia S is an individual health care provider with primary practice located at 23 Warren Ave Suite 130, Woburn MA 01801-7906. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Moon, Alysia S can be contacted via phone (781) 573-3277.Contact Information
Primary practice address
23 Warren Ave Suite 130
Woburn MA 01801-7906
Phone: (781) 573-3277
Fax: (781) 933-0478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 166183 | Massachusetts |
Profile Details
| NPI number | 1235302720 |
|---|---|
| LBN Legal business name | Moon, Alysia S |
| Credentials | AU.D., CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2008 |
| Last updated | Dec 31st, 2012 - about 13 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 | 1235302720 | NPPES |
| Massachusetts | Other | M12237 | MEDICARE |
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