MEDICARE: ALLYSON FOX

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
1	2355S0801X	Speech-Language Assistant	SP-4478	NV

General Provider Information

NPI Number	:	1194654517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSON FOX

Provider Business Mailing Address
First Line	:	25 BLUE CAVERN ST
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-4461
Country	:	US
Telephone Number	:	702-937-3508
Fax Number	:

Provider Business Practice Location Address
First Line	:	9480 S EASTERN AVE STE 273
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-8000
Country	:	US
Telephone Number	:	702-463-5460
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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Directions to “ ALLYSON FOX ” Practice Location

Language	Start Address	Practice Location

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