Mary Beth Geglia Allison, M.S.
Individual provider Active NPI Speech-Language Pathologist · Palm City, FL
NPI 1245425909 · NPPES record last updated May 11, 2021
Key facts
- NPI
- 1245425909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SA 8831 (FL)
- Practice address
- 1787 SW Sea Holly Way
Palm City, FL 34990-8532 - Phone
- (964) 732-6415
- NPI assigned
- Sep 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210602001912 | FL | Practitioner - Qualified Speech Language Pathologist | 1254730856 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 8831 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Links, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Center for Successful Students, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Locations
1151 SW 30th St
Ste E
Palm City, FL 34990
Phone (772) 291-2179
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 8831 | FL | Yes |
Addresses
Primary practice location
1787 SW Sea Holly Way
Palm City, FL 34990-8532
Mailing address
1787 SW Sea Holly Way
Palm City, FL 34990-8532
Phone (964) 732-6415
Other providers in Palm City, FL
- All About Kids Pediatrics, Inc
- Jedterria Allen
- Scott Gyles Allen
- Stephan Leonard Allen
- Harry Allison
- Stephen B Allison
- Melissa Joy Alvarez Betancourt
- Milsa Amely
- Jessica Lee Anderson
- Sharon Donna Andrew
All providers in Palm City, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.