Provider Demographics
NPI:1497067144
Name:MCCUEN, ALISON LYNN
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:LYNN
Last Name:MCCUEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 897
Mailing Address - Street 2:
Mailing Address - City:SAINT MICHAELS
Mailing Address - State:MD
Mailing Address - Zip Code:21663-0897
Mailing Address - Country:US
Mailing Address - Phone:313-595-3693
Mailing Address - Fax:
Practice Address - Street 1:209 E MAPLE AVE
Practice Address - Street 2:
Practice Address - City:SAINT MICHAELS
Practice Address - State:MD
Practice Address - Zip Code:21663-2975
Practice Address - Country:US
Practice Address - Phone:313-595-3693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06843235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist