Healthcare Provider Details

I. General information

NPI: 1790609139
Provider Name (Legal Business Name): ALISON EDDINS MA, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 VIRGINIA ST
BISHOP CA
93514-9647
US

IV. Provider business mailing address

82 VIRGINIA ST
BISHOP CA
93514-9647
US

V. Phone/Fax

Practice location:
  • Phone: 804-929-0737
  • Fax:
Mailing address:
  • Phone: 804-929-0737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14501127
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number37532
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: