Individual
ALLISON ANNE VANSICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS-SLP
Contact information
Practice address
LOGAN COMMUNITY RESOURCES, INC, 2505 E. JEFFERSON BLVD, SOUTH BEND, IN 46615
(574) 289-4831
Mailing address
59888 PINE CREST DR, MISHAWAKA, IN 46544-9471
(574) 309-2206
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22009027A
IN
235Z00000X
Speech-Language Pathologist
46004250A
IN
Other
Enumeration date
06/02/2019
Last updated
08/11/2025
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