Tina L Allis, SLP

Individual provider Active NPI Speech-Language Pathologist · Lynchburg, VA

NPI 1124250329 · NPPES record last updated Jun 25, 2024

Key facts

NPI
1124250329
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2202004828 (VA)
Practice address
1559 Timberlake Dr
Lynchburg, VA 24502-6935
Phone
(434) 582-4533
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Speechless No More, LLC Speech-Language Pathologist Current
since Jun 30, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202004828 VA Yes

Addresses

Primary practice location

1559 Timberlake Dr
Lynchburg, VA 24502-6935

Mailing address

1559 Timberlake Dr
Lynchburg, VA 24502-6935
Phone (434) 616-0567

Other identifiers

IdentifierTypeStateIssuer
15436342OtherVACAQH

Other providers in Lynchburg, VA

All providers in Lynchburg, VA · Speech-Language Pathologist in Virginia

Sources for this page

Verify at the official NPI Registry.