Provider Demographics
NPI:1033709977
Name:STEWART, ALLISON REID (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:REID
Last Name:STEWART
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13300 BRIDGEVIEW WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-7271
Mailing Address - Country:US
Mailing Address - Phone:360-708-2044
Mailing Address - Fax:
Practice Address - Street 1:2621 BICKFORD AVE STE C
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-1736
Practice Address - Country:US
Practice Address - Phone:360-217-8168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23688235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist