Provider Demographics
NPI:1740651223
Name:CECIL, ALLISON (AUD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:CECIL
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 1:26 OLD MILL BLVD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-6738
Mailing Address - Country:US
Mailing Address - Phone:724-228-8212
Mailing Address - Fax:
Practice Address - Street 1:26 OLD MILL BLVD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-6738
Practice Address - Country:US
Practice Address - Phone:724-228-8212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006401237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter