Provider Demographics
NPI:1225539323
Name:MCMILLEN, ALISON PARKER (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:PARKER
Last Name:MCMILLEN
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 1:5460 CROSBY WAY UNIT 3
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-4288
Mailing Address - Country:US
Mailing Address - Phone:919-524-1157
Mailing Address - Fax:
Practice Address - Street 1:2305 WELLINGTON DR SW STE G
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-4400
Practice Address - Country:US
Practice Address - Phone:919-524-1157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-23
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist