Allison Adams, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Lake Havasu City, AZ

NPI 1770044489 · NPPES record last updated Mar 26, 2019

Key facts

NPI
1770044489
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP11706 (AZ)
Practice address
3800 Yazoo Dr
Lake Havasu City, AZ 86404-2313
Phone
(909) 583-7305
NPI assigned
Mar 26, 2019
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)
No

State licenses

LicenseStateTypeSpecialty
SLP11706AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Therapy Solutions, LLC Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 23716 CA
Speech-Language Pathologist 235Z00000X SLP11706 AZ Yes

Addresses

Primary practice location

3800 Yazoo Dr
Lake Havasu City, AZ 86404-2313

Mailing address

3800 Yazoo Dr
Lake Havasu City, AZ 86404-2313
Phone (909) 583-7305

Other providers in Lake Havasu City, AZ

All providers in Lake Havasu City, AZ · Speech-Language Pathologist in Arizona

Sources for this page

Verify at the official NPI Registry.