Healthcare Provider Details

I. General information

NPI: 1831020742
Provider Name (Legal Business Name): ALLISON ANDRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2602 WILMINGTON RD STE 104A
NEW CASTLE PA
16105-1537
US

IV. Provider business mailing address

2863 FREW MILL RD
NEW CASTLE PA
16101-8233
US

V. Phone/Fax

Practice location:
  • Phone: 724-752-1551
  • Fax:
Mailing address:
  • Phone: 724-752-1551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberPSL002968
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: