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Danielle Allison

Individual provider Active NPI Speech-Language Pathologist · Fort Dix, NJ

NPI 1457728263 · NPPES record last updated Oct 30, 2019

Key facts

NPI
1457728263
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
41YS00995400 (NJ)
Practice address
816A Mahlenbrock Ave
Fort Dix, NJ 08640-1812
Phone
(941) 705-4949
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
No

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)
No

State licenses

LicenseStateTypeSpecialty
41YS00995400NJMDSpeech-Language Pathologist
14080768OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawton Independent School District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14080768 OK
Speech-Language Pathologist 235Z00000X 41YS00995400 NJ Yes

Addresses

Primary practice location

816A Mahlenbrock Ave
Fort Dix, NJ 08640-1812

Mailing address

816A Mahlenbrock Ave
Fort Dix, NJ 08640-1812
Phone (941) 705-4949

Other providers in Fort Dix, NJ

All providers in Fort Dix, NJ · Speech-Language Pathologist in New Jersey

Sources for this page

Verify at the official NPI Registry.