Provider Demographics
NPI:1104940535
Name:POORE, ALLISON GAREAU (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:GAREAU
Last Name:POORE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26967 TALL OAKS TRL
Mailing Address - Street 2:
Mailing Address - City:OLMSTED FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44138-1165
Mailing Address - Country:US
Mailing Address - Phone:440-785-1224
Mailing Address - Fax:440-427-8251
Practice Address - Street 1:26967 TALL OAKS TRL
Practice Address - Street 2:
Practice Address - City:OLMSTED FALLS
Practice Address - State:OH
Practice Address - Zip Code:44138-1165
Practice Address - Country:US
Practice Address - Phone:440-785-1224
Practice Address - Fax:440-427-8251
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-7386235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist