Individual
ALISON BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2888 MAHAN DR, SUITE 3, TALLAHASSEE, FL 32308-5464
(850) 727-7928
Mailing address
1322 MANOR HOUSE DR, TALLAHASSEE, FL 32312-9662
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 13450
FL
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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