Provider Demographics
NPI:1083081442
Name:ZANDE, ALLISON COLLEEN (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:COLLEEN
Last Name:ZANDE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11680 S RENE CT
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-5770
Mailing Address - Country:US
Mailing Address - Phone:913-961-9201
Mailing Address - Fax:
Practice Address - Street 1:11680 S RENE CT
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-5770
Practice Address - Country:US
Practice Address - Phone:913-961-9201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-01
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3836235Z00000X
MO2015028482235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist