Provider Demographics
NPI:1821833252
Name:GARRISON, ALLISON ANN (MS CF-SLP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:ANN
Last Name:GARRISON
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 NOBLE CT STE 120
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6355
Mailing Address - Country:US
Mailing Address - Phone:469-974-1243
Mailing Address - Fax:469-264-5105
Practice Address - Street 1:60 NOBLE CT STE 120
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6355
Practice Address - Country:US
Practice Address - Phone:469-974-1243
Practice Address - Fax:469-264-5105
Is Sole Proprietor?:No
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122669235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist