Provider Demographics
NPI:1780612366
Name:BARANOWSKI, ALLISON RADZIK (MA,CCC-A)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:RADZIK
Last Name:BARANOWSKI
Suffix:
Gender:F
Credentials:MA,CCC-A
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:RADZIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA,CCC-A
Mailing Address - Street 1:PO BOX 406153
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-1876
Mailing Address - Country:US
Mailing Address - Phone:561-478-8770
Mailing Address - Fax:561-688-8877
Practice Address - Street 1:1005A E COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-3956
Practice Address - Country:US
Practice Address - Phone:954-493-6411
Practice Address - Fax:954-493-9078
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1608-1231H00000X
FLAY1369231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL600490300Medicaid
FL4899737OtherGHI
FL4899737OtherGHI