Provider Demographics
NPI:1417295288
Name:WINTER, ALISON ROSE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:ROSE
Last Name:WINTER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MISS
Other - First Name:ALISON
Other - Middle Name:ROSE
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:626 E 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:REDFIELD
Mailing Address - State:SD
Mailing Address - Zip Code:57469-1335
Mailing Address - Country:US
Mailing Address - Phone:320-249-0849
Mailing Address - Fax:
Practice Address - Street 1:626 E 6TH AVE
Practice Address - Street 2:
Practice Address - City:REDFIELD
Practice Address - State:SD
Practice Address - Zip Code:57469-1335
Practice Address - Country:US
Practice Address - Phone:320-249-0849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-29
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist