Organization Name: | ALLISON THERAPEUTICS, LLC |
NPI Number: | 1134123045 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER ALLISON REIDENBACH (OWNER, SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 1233 Ben Sawyer Blvd Suite 500 Mount Pleasant |
State: | SC US |
Postal Code: | 294644577 |
Phone Number: | 8436970396 |
Fax Number: | 8036750787 |
NPI Enumeration Date: | 06/08/2005 |
NPI Last Update Date: | 10/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |