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NPI Code Detail

MEDICARE: ALLISON MCWEENEY CCC-SLP

MEDICARE:   ALLISON  MCWEENEY  CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist029933NY

General Provider Information

NPI Number : 1295451151
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON MCWEENEY CCC-SLP
Provider Business Mailing Address
First Line : 61 CAPITAL DR
Second Line :
City : WASHINGTONVILLE
State : NY
Zip : 10992-1345
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 170 BUFFALO AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11213-2421
Country : US
Telephone Number : 718-252-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2022
Last Update Date : 10/12/2022

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Directions to “ ALLISON MCWEENEY CCC-SLP” Practice Location

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