Provider Demographics
NPI:1275754749
Name:GURLEY, ALLISON (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:GURLEY
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 1:8544 GURLEY FARM RD
Mailing Address - Street 2:
Mailing Address - City:BISCOE
Mailing Address - State:AR
Mailing Address - Zip Code:72017-9733
Mailing Address - Country:US
Mailing Address - Phone:870-998-2530
Mailing Address - Fax:
Practice Address - Street 1:1116 N NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:BRINKLEY
Practice Address - State:AR
Practice Address - Zip Code:72021-2126
Practice Address - Country:US
Practice Address - Phone:870-734-1155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2156235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist