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

Individual provider Speech-Language Pathologist · NPI 1417695644

Mrs. Alyssa Lynne Fraser, MSCCCSLP is a Speech-Language Pathologist in Palatka, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2022
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Practice location Address checks out

1301 Saint Johns Ave
Palatka, FL 32177-4539
Phone: (386) 546-3379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 106 Eagle Nest Ct, East Palatka, FL 32131-4166 — (845) 866-6118

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA15184 (FL)

Record details

NPI number1417695644
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorNo
NPI enumeratedMay 26, 2022
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024

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