Provider Demographics
NPI:1932787462
Name:SENECHAL, ALLISON D
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:D
Last Name:SENECHAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 E MAIN RD UNIT 7
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-5288
Mailing Address - Country:US
Mailing Address - Phone:401-859-3999
Mailing Address - Fax:401-826-8926
Practice Address - Street 1:575 E MAIN RD UNIT 7
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-5288
Practice Address - Country:US
Practice Address - Phone:401-859-3999
Practice Address - Fax:833-354-6737
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP00656-P235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist