Individual
ALLYSON WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 CHESAPEAKE DR, TARPON SPRINGS, FL 34689-2515
(727) 934-4629
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3422
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA14786
FL
235Z00000X
Speech-Language Pathologist
SZ7251
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015656900
—
FL
Enumeration date
09/02/2015
Last updated
08/12/2020
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