Provider Demographics
NPI:1619986734
Name:PRUETT, ALLISON KRISTINE (MA, SLP-CCC)
Entity Type:Individual
Prefix:MISS
First Name:ALLISON
Middle Name:KRISTINE
Last Name:PRUETT
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Gender:F
Credentials:MA, SLP-CCC
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Mailing Address - Street 1:5800 CENTRAL AVENUE PIKE
Mailing Address - Street 2:#2905
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37912-2627
Mailing Address - Country:US
Mailing Address - Phone:865-686-3352
Mailing Address - Fax:865-769-0801
Practice Address - Street 1:9040 EXECUTIVE PARK DR
Practice Address - Street 2:120
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4640
Practice Address - Country:US
Practice Address - Phone:865-693-5622
Practice Address - Fax:865-769-0801
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN3109235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist