Provider Demographics
NPI:1942642863
Name:PHILLIPS, ALLISON PAIGE (CCC SLP)
Entity Type:Individual
Prefix:MISS
First Name:ALLISON
Middle Name:PAIGE
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1846 BRYN MAWR DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-3863
Mailing Address - Country:US
Mailing Address - Phone:910-987-2914
Mailing Address - Fax:
Practice Address - Street 1:22201 ROSE GARDEN LN
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6812
Practice Address - Country:US
Practice Address - Phone:910-987-2914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-19
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist