Individual
MS. ALLISON INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 DAVIDS CT, DAYTON, NJ 08810-1301
(732) 274-1527
Mailing address
18 DAVIDS CT, DAYTON, NJ 08810-1301
(732) 274-1527
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00098800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028670
AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION CERTIFICATION
—
01
—
41YS00098800
STATE LICENSE
NJ
Enumeration date
02/14/2011
Last updated
02/14/2011
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