Individual
ALLISON HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45434 MOONLIGHT DR, PLYMOUTH, MI 48170-3612
(419) 345-6909
Mailing address
45434 MOONLIGHT DR, PLYMOUTH, MI 48170-3612
(419) 345-6909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.10970
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34-6401546
—
OH
Enumeration date
02/13/2014
Last updated
08/04/2026
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