Provider Demographics
NPI:1639437346
Name:MAYER, ALLYSON DAWN (SPEECH LANGUAGE MS)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:DAWN
Last Name:MAYER
Suffix:
Gender:F
Credentials:SPEECH LANGUAGE MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 2ND ST SE
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-4425
Mailing Address - Country:US
Mailing Address - Phone:701-340-5414
Mailing Address - Fax:
Practice Address - Street 1:518 2ND ST SE
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-4425
Practice Address - Country:US
Practice Address - Phone:701-340-5414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-01
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist