Provider Demographics
NPI:1801198742
Name:MCALLISTER, CARA LOUISE (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:LOUISE
Last Name:MCALLISTER
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 1:238 BLOSSOM LN
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33404-5707
Mailing Address - Country:US
Mailing Address - Phone:561-758-5859
Mailing Address - Fax:
Practice Address - Street 1:238 BLOSSOM LN
Practice Address - Street 2:
Practice Address - City:PALM BEACH SHORES
Practice Address - State:FL
Practice Address - Zip Code:33404-5707
Practice Address - Country:US
Practice Address - Phone:561-758-5859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-29
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA11342235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist