Provider Demographics
NPI:1992586507
Name:SHARP, ALLISON JOHANNA (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:JOHANNA
Last Name:SHARP
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:AVI
Other - Middle Name:JOHANNA
Other - Last Name:SHARP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CF-SLP
Mailing Address - Street 1:350 TWIN DOLPHIN DR STE 123
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94065-1458
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:350 TWIN DOLPHIN DR STE 123
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94065-1458
Practice Address - Country:US
Practice Address - Phone:650-832-5648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18374235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist