Provider Demographics
NPI:1164858130
Name:ROGERS, ALLISON PITTS (MCD)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:PITTS
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MCD
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:ELLIOTT
Other - Last Name:PITTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MCD
Mailing Address - Street 1:340 ALBEMARLE CT
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29154-8053
Mailing Address - Country:US
Mailing Address - Phone:803-236-7840
Mailing Address - Fax:
Practice Address - Street 1:1345 WILSON HALL RD
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-1890
Practice Address - Country:US
Practice Address - Phone:803-469-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-22
Last Update Date:2013-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4944235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist