Provider Demographics
NPI:1275937575
Name:ATKINSON, ALLISON (MA,CCC-SLP,BCS-S)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:MA,CCC-SLP,BCS-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 TIMBERLANE DR
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-2911
Mailing Address - Country:US
Mailing Address - Phone:210-289-9374
Mailing Address - Fax:
Practice Address - Street 1:309 TIMBERLANE DR
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-2911
Practice Address - Country:US
Practice Address - Phone:210-289-9374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101440235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist