Provider Demographics
NPI:1992034375
Name:ADKINS, ALLISON LEAH (BA)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:LEAH
Last Name:ADKINS
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 RITCHIE HWY STE I
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-3926
Mailing Address - Country:US
Mailing Address - Phone:410-647-7795
Mailing Address - Fax:410-315-8823
Practice Address - Street 1:1324 BELMONT AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-4500
Practice Address - Country:US
Practice Address - Phone:410-546-9552
Practice Address - Fax:410-315-8823
Is Sole Proprietor?:No
Enumeration Date:2009-12-15
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD663402237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist