IndividualActive
Alyssa Fervan, MS CCC-SLP
NPI 1053081133 · Speech-Language Pathologist · Elmira, NY
Provider details
- NPI number
- 1053081133
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 031074 (NY)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
459 Philo Rd
Elmira, NY 14903-1051
Phone: (607) 739-3581
Approximate (ZIP-level) locationGet directions
Mailing address
134 Prescott Ave Apt B
Elmira Heights, NY 14903-1774
Registry dates
- Enumerated
- 2021-09-20
- Last updated
- 2022-02-08
- Certified
- 2022-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.