Healthcare Provider Details

I. General information

NPI: 1336085752
Provider Name (Legal Business Name): ALLISON SPEECH LANGUAGE PATHOLOGIST P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8678 23RD AVE APT 2B
BROOKLYN NY
11214-4238
US

IV. Provider business mailing address

8678 23RD AVE APT 2B
BROOKLYN NY
11214-4238
US

V. Phone/Fax

Practice location:
  • Phone: 917-742-4086
  • Fax:
Mailing address:
  • Phone: 917-742-4086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MS. ALLISON ANNA FRIDMAN
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: M.S., CCC-SLP, TSSLD
Phone: 917-742-4086