Individual
ALLISON UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, PORT ORANGE, FL 32128
(800) 330-7711
Mailing address
5535 S WILLIAMSON BLVD, PORT ORANGE, FL 32128-8311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000211
CO
235Z00000X
Speech-Language Pathologist
016220
OR
235Z00000X
Speech-Language Pathologist
76989
MA
Other
Enumeration date
04/12/2017
Last updated
07/16/2018
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