Provider Demographics
NPI:1346070323
Name:BRINKHOFF, ALLISON MAE (MS CCC SLP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MAE
Last Name:BRINKHOFF
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14051 BEACH BLVD APT 1418
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250-1798
Mailing Address - Country:US
Mailing Address - Phone:412-328-6432
Mailing Address - Fax:
Practice Address - Street 1:14051 BEACH BLVD APT 1418
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-1798
Practice Address - Country:US
Practice Address - Phone:412-328-6432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11183235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist