Provider Demographics
NPI:1790099182
Name:PLATTER, ALLISON REDFIELD (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:REDFIELD
Last Name:PLATTER
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 1:409 KNIGHT AVE
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-3110
Mailing Address - Country:US
Mailing Address - Phone:919-802-6122
Mailing Address - Fax:919-867-6287
Practice Address - Street 1:409 KNIGHT AVE
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-3110
Practice Address - Country:US
Practice Address - Phone:919-802-6122
Practice Address - Fax:919-867-6287
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-28
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8887235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC12136701OtherCAQH