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NPI Code Detail

MEDICARE: ALISON JANAE HEATH M.S., CCC-SLP

MEDICARE:   ALISON JANAE HEATH  M.S., CCC-SLP
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
1235Z00000XSpeech-Language Pathologist121736TX

General Provider Information

NPI Number : 1073383303
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON JANAE HEATH M.S., CCC-SLP
Provider Business Mailing Address
First Line : 2001 TEXAN DR
Second Line :
City : JUSTIN
State : TX
Zip : 76247-8791
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12771 SARATOGA SPRINGS CIR
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-9425
Country : US
Telephone Number : 817-698-1115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2024
Last Update Date : 05/26/2026

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Directions to “ ALISON JANAE HEATH M.S., CCC-SLP” Practice Location

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