Provider Demographics
NPI:1518208313
Name:DELANEY, ALLISON RAE (SLP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:RAE
Last Name:DELANEY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 PLYMOUTH RD 220
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-2382
Mailing Address - Country:US
Mailing Address - Phone:952-223-2506
Mailing Address - Fax:
Practice Address - Street 1:403 EAST CENTRAL AVE, SUITE 102
Practice Address - Street 2:SUNNY DAYS THERAPY
Practice Address - City:ST. MICHAEL
Practice Address - State:MN
Practice Address - Zip Code:55376
Practice Address - Country:US
Practice Address - Phone:925-223-2506
Practice Address - Fax:925-443-2038
Is Sole Proprietor?:No
Enumeration Date:2013-03-05
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8948235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist