Provider Demographics
NPI:1366274318
Name:ELSNER, ALISA
Entity type:Individual
Prefix:
First Name:ALISA
Middle Name:
Last Name:ELSNER
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 1:3524 SMITHVILLE DR
Mailing Address - Street 2:
Mailing Address - City:DUNKIRK
Mailing Address - State:MD
Mailing Address - Zip Code:20754-9664
Mailing Address - Country:US
Mailing Address - Phone:240-252-0826
Mailing Address - Fax:
Practice Address - Street 1:2820 JENIFER SCHOOL LN
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-3901
Practice Address - Country:US
Practice Address - Phone:301-753-1768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant