Provider Demographics
NPI:1801066279
Name:REMLEY, ALLISON SUSANNE (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:SUSANNE
Last Name:REMLEY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:SUSANNE
Other - Last Name:EWALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2100 COUNTY ROAD 638
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-9729
Mailing Address - Country:US
Mailing Address - Phone:573-382-0444
Mailing Address - Fax:
Practice Address - Street 1:2100 COUNTY ROAD 638
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-9729
Practice Address - Country:US
Practice Address - Phone:573-382-0444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010014294235Z00000X
IL146.009401235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist