Provider Demographics
NPI:1770015687
Name:CADWELL DE SOUSA, ALLISON (BS,)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:CADWELL DE SOUSA
Suffix:
Gender:F
Credentials:BS,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7311 N LOOP 1604 E APT 5210
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-2892
Mailing Address - Country:US
Mailing Address - Phone:801-648-0556
Mailing Address - Fax:
Practice Address - Street 1:7311 N LOOP 1604 E APT 5210
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-2892
Practice Address - Country:US
Practice Address - Phone:801-512-4789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-30
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX412472355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant