Provider Demographics
NPI:1720861297
Name:NORRIS, ALLISON CLARE (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:CLARE
Last Name:NORRIS
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 W MOSS AVE APT D
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61606-1843
Mailing Address - Country:US
Mailing Address - Phone:815-351-9522
Mailing Address - Fax:
Practice Address - Street 1:4812 PFEIFFER RD
Practice Address - Street 2:
Practice Address - City:BARTONVILLE
Practice Address - State:IL
Practice Address - Zip Code:61607-2647
Practice Address - Country:US
Practice Address - Phone:815-351-9522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.007220235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist