Provider Demographics
NPI:1558873521
Name:PFEIFER, ALLYSON BANALES (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:BANALES
Last Name:PFEIFER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14660 WHITTIER BLVD APT 120
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90605-1768
Mailing Address - Country:US
Mailing Address - Phone:408-425-6463
Mailing Address - Fax:
Practice Address - Street 1:14660 WHITTIER BLVD APT 120
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-1768
Practice Address - Country:US
Practice Address - Phone:408-425-6463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2024-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27599235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist