Provider Demographics
NPI:1518985498
Name:MAYHUE, ALISON
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:
Last Name:MAYHUE
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 1:20660 E 700 RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT CARMEL
Mailing Address - State:IL
Mailing Address - Zip Code:62863-4186
Mailing Address - Country:US
Mailing Address - Phone:618-299-2181
Mailing Address - Fax:
Practice Address - Street 1:20660 E 700 RD
Practice Address - Street 2:
Practice Address - City:MOUNT CARMEL
Practice Address - State:IL
Practice Address - Zip Code:62863-4186
Practice Address - Country:US
Practice Address - Phone:618-299-2181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22003515A235Z00000X
IL146.006827235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist