Doctor Name: | ALLISON GRAY |
NPI Number: | 1811226277 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP/L |
License Number: | |
Business Practice Address: | 1675 Dempster St Park Ridge, IL - 600681110 |
Business Phone Number: | 8477234532 |
Business Fax Number: | |
Mailing Address: | 1675 Dempster St, PARK RIDGE |
State: | IL |
Postal Code: | 600681110 |
Phone Number: | 8477234532 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2009 |
NPI Last Update Date: | 12/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |