Provider Demographics
NPI:1720373822
Name:O'GRADY, ALLISON J (AUD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:J
Last Name:O'GRADY
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 1:6210 MILLS CREEK LN
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-2546
Mailing Address - Country:US
Mailing Address - Phone:724-355-0563
Mailing Address - Fax:
Practice Address - Street 1:6166 PEARL RD
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3161
Practice Address - Country:US
Practice Address - Phone:440-884-8161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist