Provider Demographics
NPI:1467084327
Name:MINOR, ALLISON L (MS CF-SLP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:L
Last Name:MINOR
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 LIDA ST
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65259-1259
Mailing Address - Country:US
Mailing Address - Phone:660-277-3661
Mailing Address - Fax:
Practice Address - Street 1:101 EVANS ST
Practice Address - Street 2:
Practice Address - City:HIGBEE
Practice Address - State:MO
Practice Address - Zip Code:65257-1009
Practice Address - Country:US
Practice Address - Phone:660-456-7206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-09
Last Update Date:2020-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist