Provider Demographics
NPI:1477972230
Name:MAXEY, ALLISON LYNN (MS, SLP-CF)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:LYNN
Last Name:MAXEY
Suffix:
Gender:F
Credentials:MS, SLP-CF
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:LYNN
Other - Last Name:MAXEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 CROLEY BEND EST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40769-2760
Mailing Address - Country:US
Mailing Address - Phone:606-634-0427
Mailing Address - Fax:
Practice Address - Street 1:20 CROLEY BEND EST
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:KY
Practice Address - Zip Code:40769-2760
Practice Address - Country:US
Practice Address - Phone:606-634-0427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-09
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2013-081235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist