Provider Demographics
NPI:1952777393
Name:MCNICHOLAS, ALISON JOSETTE (MA, SLP)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:JOSETTE
Last Name:MCNICHOLAS
Suffix:
Gender:F
Credentials:MA, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 WHEELWRIGHT LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-5233
Mailing Address - Country:US
Mailing Address - Phone:516-263-3382
Mailing Address - Fax:
Practice Address - Street 1:28 WHEELWRIGHT LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-5233
Practice Address - Country:US
Practice Address - Phone:516-263-3382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-20
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist