Provider Demographics
NPI:1205256021
Name:GILL, ALLISON ANNE (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:ANNE
Last Name:GILL
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12443 LEIGH LN
Mailing Address - Street 2:
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-2918
Mailing Address - Country:US
Mailing Address - Phone:314-614-2783
Mailing Address - Fax:
Practice Address - Street 1:12443 LEIGH LN
Practice Address - Street 2:
Practice Address - City:MARYLAND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63043-2918
Practice Address - Country:US
Practice Address - Phone:314-614-2783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-19
Last Update Date:2014-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist