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NPI Code Detail

MEDICARE: ALLYSON WADE

MEDICARE: ALLYSON WADE
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 PathologistSZ7251FL
2235Z00000XSpeech-Language PathologistSA14786FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841667268
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLYSON WADE
Provider Business Mailing Address
First Line : 2600 COMPASS RD
Second Line :
City : GLENVIEW
State : IL
Zip : 60026-8001
Country : US
Telephone Number : 877-787-3422
Fax Number :
Provider Business Practice Location Address
First Line : 515 CHESAPEAKE DR
Second Line :
City : TARPON SPRINGS
State : FL
Zip : 34689-2515
Country : US
Telephone Number : 727-934-4629
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2015
Last Update Date : 08/12/2020

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Directions to “ ALLYSON WADE ” Practice Location

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