MEDICARE: ALISON WALSH DAME

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
1	235Z00000X	Speech-Language Pathologist	CF866	OK

General Provider Information

NPI Number	:	1427990753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON WALSH DAME

Provider Business Mailing Address
First Line	:	4400 PENNINGTON CT
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73072-0200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	911 W MAIN ST
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73069-6997
Country	:	US
Telephone Number	:	405-366-5812
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “ ALISON WALSH DAME ” Practice Location

Language	Start Address	Practice Location

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