IndividualActive
Alisyn Kandybowicz, CCC-SLP
NPI 1053853416 · Speech-Language Pathologist · Flagstaff, AZ
Provider details
- NPI number
- 1053853416
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 10260 (AZ)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
6525 Johnson Ranch Rd
Flagstaff, AZ 86004-8327
Phone: (602) 284-5406
Fax: (602) 297-6516
Approximate (ZIP-level) locationGet directions
Mailing address
6525 Johnson Ranch Rd
Flagstaff, AZ 86004-8327
Registry dates
- Enumerated
- 2016-11-16
- Last updated
- 2026-01-22
- Certified
- 2026-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.