Provider Demographics
NPI:1063685691
Name:ACHOR, ALISON AILEEN (MS CCC SLP)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:AILEEN
Last Name:ACHOR
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3751 ROUTE 153
Mailing Address - Street 2:
Mailing Address - City:WEST PAWLET
Mailing Address - State:VT
Mailing Address - Zip Code:05775-9730
Mailing Address - Country:US
Mailing Address - Phone:917-916-7340
Mailing Address - Fax:802-645-0491
Practice Address - Street 1:3751 ROUTE 153
Practice Address - Street 2:
Practice Address - City:WEST PAWLET
Practice Address - State:VT
Practice Address - Zip Code:05775-9730
Practice Address - Country:US
Practice Address - Phone:917-916-7340
Practice Address - Fax:802-645-0491
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-03
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT8040574235Z00000X
NY012403-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist