Provider Demographics
NPI:1215663513
Name:SOLWAY, ALLISON MICHELE (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MICHELE
Last Name:SOLWAY
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 1:15668 JEANETTE ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2103
Mailing Address - Country:US
Mailing Address - Phone:248-320-7818
Mailing Address - Fax:
Practice Address - Street 1:530 7TH AVE RM 501
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-4850
Practice Address - Country:US
Practice Address - Phone:844-415-4592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23749235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist