Provider Demographics
NPI:1144526013
Name:CAROLAN, ALLISON ANN (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:ANN
Last Name:CAROLAN
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 1:10005 GREENBRIER RD
Mailing Address - Street 2:306
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-3494
Mailing Address - Country:US
Mailing Address - Phone:608-333-6544
Mailing Address - Fax:
Practice Address - Street 1:701 PARK AVE
Practice Address - Street 2:B3 SPEECH PATHOLOGY
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1623
Practice Address - Country:US
Practice Address - Phone:612-873-4332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist