Provider Demographics
NPI:1750517413
Name:ALLISON, ASHLEY (MS SPEECH PATH)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:ALLISON
Suffix:
Gender:F
Credentials:MS SPEECH PATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 HERITAGE ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:NEW FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06812-5205
Mailing Address - Country:US
Mailing Address - Phone:203-228-7201
Mailing Address - Fax:
Practice Address - Street 1:250 S PRESIDENT ST
Practice Address - Street 2:SUITE 2300
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-4436
Practice Address - Country:US
Practice Address - Phone:443-320-1033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist