Provider Demographics
NPI:1376603332
Name:MEESE, ALLISON MORGAN (MS,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:MORGAN
Last Name:MEESE
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:BETH
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS,CCC-SLP
Mailing Address - Street 1:3009 GREENMOUNT RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-5615
Mailing Address - Country:US
Mailing Address - Phone:407-894-5014
Mailing Address - Fax:
Practice Address - Street 1:1300 KUHL AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2006
Practice Address - Country:US
Practice Address - Phone:321-841-6740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA3313235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL811082400Medicaid