Provider Demographics
NPI:1285475772
Name:COULSON, ALLISON PAIGE (CF-SLP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:PAIGE
Last Name:COULSON
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1745 CONDOR DR
Mailing Address - Street 2:
Mailing Address - City:MANTENO
Mailing Address - State:IL
Mailing Address - Zip Code:60950-4001
Mailing Address - Country:US
Mailing Address - Phone:630-926-0283
Mailing Address - Fax:
Practice Address - Street 1:185 S MARLEY RD
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-3302
Practice Address - Country:US
Practice Address - Phone:815-462-4928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist