Individual
ALLISON FALKENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8200 GEORGIA ST, MERRILLVILLE, IN 46410-6227
(219) 791-1400
Mailing address
8200 GEORGIA ST, MERRILLVILLE, IN 46410-6227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007208A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22007208A
CCC-SLP LICENSE
IN
05
—
300027630
—
IN
01
—
TH0003640
TELEHEALTH LICENSE
IN
Enumeration date
05/28/2019
Last updated
02/24/2023
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