Provider Demographics
NPI:1467606459
Name:ANGELINI, ALISON JILL (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:JILL
Last Name:ANGELINI
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 JO DR
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-1409
Mailing Address - Country:US
Mailing Address - Phone:914-528-4448
Mailing Address - Fax:
Practice Address - Street 1:19 JO DR
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-1409
Practice Address - Country:US
Practice Address - Phone:914-528-4448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012654-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist