Individual
ALLISON MARIE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CCC
Contact information
Practice address
601 N 17TH ST, HERRIN, IL 62948-1201
(618) 942-5418
Mailing address
601 N 17TH ST, HERRIN, IL 62948-1201
(618) 942-5418
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.014010
IL
Other
Enumeration date
09/14/2017
Last updated
07/21/2022
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