Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alise Pangrazio, MSLIC/CCC-SLPTSSLD

Individual provider Speech-Language Pathologist · NPI 1104390988

Alise Pangrazio, MSLIC/CCC-SLPTSSLD is a Speech-Language Pathologist in Victor, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

590 Fishers Station Dr Ste 130
Victor, NY 14564-9744
Phone: (585) 924-7207
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 031151-01 (NY)

Record details

NPI number1104390988
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSLIC/CCC-SLPTSSLD
Sole proprietorNo
NPI enumeratedJanuary 15, 2019
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021

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