Provider Demographics
NPI:1801197454
Name:STEPP, ALISON A (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:A
Last Name:STEPP
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 MUSKET BALL DR
Mailing Address - Street 2:
Mailing Address - City:RUIDOSO
Mailing Address - State:NM
Mailing Address - Zip Code:88345-5921
Mailing Address - Country:US
Mailing Address - Phone:575-808-9570
Mailing Address - Fax:
Practice Address - Street 1:159 MUSKET BALL DR
Practice Address - Street 2:
Practice Address - City:RUIDOSO
Practice Address - State:NM
Practice Address - Zip Code:88345-5921
Practice Address - Country:US
Practice Address - Phone:575-808-9570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-13
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM5031235Z00000X
TX24794235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist