Provider Demographics
NPI:1689289704
Name:HOANIN, ALLYSON K (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:K
Last Name:HOANIN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:ALLYSON
Other - Middle Name:K
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CF-SLP
Mailing Address - Street 1:2238 E. GINTER ROAD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85706
Mailing Address - Country:US
Mailing Address - Phone:520-545-2137
Mailing Address - Fax:520-545-2120
Practice Address - Street 1:SUNNYSIDE UNIFIED SCHOOL DISTRICT NO. 12
Practice Address - Street 2:2238 E. GINTER ROAD
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85706
Practice Address - Country:US
Practice Address - Phone:520-545-2137
Practice Address - Fax:520-545-2120
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-15
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTSLP124572355S0801X
AZAZ12457235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant