Provider Demographics
NPI:1790960631
Name:SPAGNOLO, ALISON R (SLP)
Entity Type:Individual
Prefix:MISS
First Name:ALISON
Middle Name:R
Last Name:SPAGNOLO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9812 LOCKPORT RD
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-1114
Mailing Address - Country:US
Mailing Address - Phone:716-297-1478
Mailing Address - Fax:716-205-0044
Practice Address - Street 1:9812 LOCKPORT RD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-1114
Practice Address - Country:US
Practice Address - Phone:716-297-1478
Practice Address - Fax:716-205-0044
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014661-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist