Provider Demographics
NPI:1750036489
Name:STANLEY, ALLISON CAROLINE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:CAROLINE
Last Name:STANLEY
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7319 GAINES MILL LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-6015
Mailing Address - Country:US
Mailing Address - Phone:706-829-5840
Mailing Address - Fax:
Practice Address - Street 1:451 N MEYER ST
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-5441
Practice Address - Country:US
Practice Address - Phone:512-268-8250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-22
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115865235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist