Provider Demographics
NPI:1184455255
Name:ROGERS, ALYSSA CAMERON
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:CAMERON
Last Name:ROGERS
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 1:8385 NARCOOSSEE RD APT 7204
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-5626
Mailing Address - Country:US
Mailing Address - Phone:850-776-4795
Mailing Address - Fax:
Practice Address - Street 1:8385 NARCOOSSEE RD APT 7204
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-5626
Practice Address - Country:US
Practice Address - Phone:850-776-4795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant