Individual ProviderAlisa MccloudSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address32 Fairfax Ave, Asheville, NC 28806-3222(828) 230-5464PECOS EnrollmentBased on the most recent information from CMS, provider Alisa Mccloud does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1902853443Provider TypeIndividualFull NameMccloud, AlisaCredentialMA, CCC-SLPGenderFemaleSole ProprietorYesEnumeration Date5/30/2006Last Updated12/22/2010Contact InformationPractice LocationPractice Address32 Fairfax Ave, Asheville, NC 28806-3222Phone(828) 230-5464Fax(828) 225-2761Mailing LocationMailing Address32 Fairfax Ave, Asheville, NC 28806-3222Phone(828) 230-5464Fax(828) 225-2761Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense3675North CarolinaProvider IdentifiersIDDescriptionIssuerID1360HDescriptionOtherIssuerBCBS PROVIDER NUMBERNorth CarolinaID7411736DescriptionMedicaidIssuerUnlistedNorth Carolina