Provider Demographics
NPI:1699843987
Name:CUMMINGS, ALLISON PATRICIA (MA,CCC,SLP-L)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:PATRICIA
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:MA,CCC,SLP-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8826 HIGH GATE WAY
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:IL
Mailing Address - Zip Code:61008-8148
Mailing Address - Country:US
Mailing Address - Phone:815-332-9873
Mailing Address - Fax:815-332-7050
Practice Address - Street 1:8826 HIGH GATE WAY
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:IL
Practice Address - Zip Code:61008-8148
Practice Address - Country:US
Practice Address - Phone:815-332-9873
Practice Address - Fax:815-332-7050
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist