Most Relevant Information
Provider Data
| NPI Number: | 1003556309 |
| Provider Name: | ALYSSA R PUGH MS,CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 7444 |
Most Important Dates
| Enumeration Date: | 04/01/2022 |
| Last Updated: | 04/01/2022 |
Provider Practice Location
706 W 28TH AVE
COVINGTON
LA
704331466
Practice Location Phone/Fax
| Phone: | 9858983311 |
| Fax: |
Provider Mailing Location
15261 MAPLEWOOD DR
PONCHATOULA
LA
704546472
Provider Mailing Phone/Fax
| Phone: | 9857051251 |
| Fax: |