Basic Information
| Provider Information | |||||||||
| NPI: | 1891207916 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WHINNA | ||||||||
| FirstName: | ALYSSA | ||||||||
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| Credential: | AUD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8100 SW 10TH ST STE 1000 | ||||||||
| Address2: | |||||||||
| City: | PLANTATION | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333243277 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9542101141 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8100 SW 10TH ST STE 1000 | ||||||||
| Address2: | |||||||||
| City: | PLANTATION | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333243277 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9542101141 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/30/2017 | ||||||||
| LastUpdateDate: | 02/20/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | AT006550 | PA | N | Speech, Language and Hearing Service Providers | Audiologist | 231H00000X | AY2161 | FL | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.