Individual
ALLISON MORMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2461 10TH ST STE 203, CORALVILLE, IA 52241-1201
(319) 358-6323
Mailing address
10423 202ND AVE, ANAMOSA, IA 52205-7894
(417) 840-8806
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002403
IA
235Z00000X
Speech-Language Pathologist
2005019579
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466206901
—
MO
Enumeration date
05/01/2007
Last updated
10/29/2013
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