Basic Information
| Provider Information | |||||||||
| NPI: | 1841858461 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KLINGFUSS | ||||||||
| FirstName: | ALYSSA | ||||||||
| MiddleName: | DANIELLE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1892 250TH ST | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | IA | ||||||||
| PostalCode: | 506221043 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3192156290 | ||||||||
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| Practice Location | |||||||||
| Address1: | 254 RED CEDAR ST | ||||||||
| Address2: | |||||||||
| City: | BLUFFTON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 299108967 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8439702899 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/29/2019 | ||||||||
| LastUpdateDate: | 05/29/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.