Provider Demographics
NPI:1427497460
Name:ROBERTS, ALLISON (AUD)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:5220 CLARK AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712
Mailing Address - Country:US
Mailing Address - Phone:562-439-9539
Mailing Address - Fax:562-439-2232
Practice Address - Street 1:5842 E NAPLES PLZ
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-5039
Practice Address - Country:US
Practice Address - Phone:562-439-9539
Practice Address - Fax:562-439-2232
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU 2905231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist