Healthcare Provider Details

I. General information

NPI: 1932052289
Provider Name (Legal Business Name): ALLISON MARIE VALLE SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 02/17/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4251 E SAN FRANCISCO ST
SAN LUIS AZ
85349
US

IV. Provider business mailing address

PO BOX 15168
SAN LUIS AZ
85349-6940
US

V. Phone/Fax

Practice location:
  • Phone: 928-285-7248
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSLPA14534
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: