Individual
ALLISON ROSE KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
12 TYLER ST, SOMERVILLE, MA 02143-3241
(391) 961-7629
Mailing address
38 IVALOO ST UNIT A, SOMERVILLE, MA 02143-3632
(415) 320-9366
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
04/18/2020
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