IndividualActive
Ailissa Alsup, MS, CCC-SLP
NPI 1083711543 · Speech-Language Pathologist · Cabot, AR
Provider details
- NPI number
- 1083711543
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- SP#1218 (AR)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
205 Plaza Blvd.
Cabot, AR 72023
Phone: (501) 628-0063
Fax: (501) 676-0066
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 980
Lonoke, AR 72086
Registry dates
- Enumerated
- 2006-09-19
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.