Provider Demographics
NPI:1639465313
Name:ALLOWAY, JODY LEE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JODY
Middle Name:LEE
Last Name:ALLOWAY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 RAVENSHOE WAY
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-9177
Mailing Address - Country:US
Mailing Address - Phone:530-591-3506
Mailing Address - Fax:
Practice Address - Street 1:1380 RAVENSHOE WAY
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-9177
Practice Address - Country:US
Practice Address - Phone:530-591-3506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10962235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist