Individual
ALLISON MICHELE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5955 SHILOH RD E STE 205, ALPHARETTA, GA 30005-8375
(470) 632-3413
Mailing address
5955 SHILOH RD E STE 205, ALPHARETTA, GA 30005-8375
(678) 764-2144
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP013565
GA
Other
Enumeration date
05/07/2025
Last updated
04/21/2026
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