Organization
ALLISON THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ALLISON REIDENBACH MSR, CCC-SLP (OWNER, SPEECH-LANGUAGE PATHOLOGIST)
(843) 697-0396
Entity
Organization
Contact information
Practice address
1233 BEN SAWYER BLVD, SUITE 500, MOUNT PLEASANT, SC 29464-4577
(843) 697-0396
(803) 675-0787
Mailing address
1233 BEN SAWYER BLVD, SUITE 500, MOUNT PLEASANT, SC 29464-4577
(843) 697-0396
(803) 675-0787
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3695
SC
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4010
—
SC
Enumeration date
06/08/2005
Last updated
10/31/2008
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