Provider Demographics
NPI:1497436703
Name:ROBINSON, ALLISON MARIE JESSE (AUD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:MARIE JESSE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:MARIE JESSE
Other - Last Name:CASIDAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4880 NE GOODVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-1996
Mailing Address - Country:US
Mailing Address - Phone:816-478-3008
Mailing Address - Fax:
Practice Address - Street 1:4880 NE GOODVIEW CIR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-1996
Practice Address - Country:US
Practice Address - Phone:816-478-3008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023026234231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist