MEDICARE: ALLISON A EASON

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	7749	NC

General Provider Information

NPI Number	:	1851239446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON A EASON

Provider Business Mailing Address
First Line	:	396 CAMELOT WAY
Second Line	:
City	:	HAMPSTEAD
State	:	NC
Zip	:	28443-3884
Country	:	US
Telephone Number	:	910-259-2187
Fax Number	:

Provider Business Practice Location Address
First Line	:	925 PENDERLEA HWY
Second Line	:
City	:	BURGAW
State	:	NC
Zip	:	28425-4546
Country	:	US
Telephone Number	:	910-259-2187
Fax Number	:

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

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “ ALLISON A EASON ” Practice Location

Language	Start Address	Practice Location

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