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:
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Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164458568 NPPES
Texas MEDICAID 160513102

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