Individual
ALLISON LEIGH THOMPSON KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
923 PENNSYLVANIA AVE., SUITE 100, FORT WORTH, TX 76104
(817) 920-0484
(817) 920-0068
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 920-0068
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
106771
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300499601
—
TX
Enumeration date
07/07/2011
Last updated
06/04/2018
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