Provider Demographics
NPI:1376336420
Name:GODSEY, ALLISON RAE
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:RAE
Last Name:GODSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5739 LITTLE SPRING WAY
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-6703
Mailing Address - Country:US
Mailing Address - Phone:301-514-0520
Mailing Address - Fax:
Practice Address - Street 1:5216 CHAIRMANS CT STE 104
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-2858
Practice Address - Country:US
Practice Address - Phone:240-200-4010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03070L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist