Provider Demographics
NPI:1669818571
Name:PATEL, ALLISON (AUD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 HARTFORD VILLAGE BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-7100
Mailing Address - Country:US
Mailing Address - Phone:937-243-1392
Mailing Address - Fax:
Practice Address - Street 1:1024 HARTFORD VILLAGE BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-7100
Practice Address - Country:US
Practice Address - Phone:937-243-1392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-18
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.01853231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist