MEDICARE: MISS ALLISON LYNN SEXTON SLP-CFY

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	235Z00000X	Speech-Language Pathologist	SZ7181	FL

General Provider Information

NPI Number	:	1750754768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ALLISON LYNN SEXTON SLP-CFY

Provider Business Mailing Address
First Line	:	4615 SW 24TH PL
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-6728
Country	:	US
Telephone Number	:	954-226-4628
Fax Number	:

Provider Business Practice Location Address
First Line	:	4615 SW 24TH PL
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-6728
Country	:	US
Telephone Number	:	954-226-4628
Fax Number	:

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

Provider Enumeration Date	:	11/12/2015
Last Update Date	:	11/12/2015

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Directions to “ MISS ALLISON LYNN SEXTON SLP-CFY” Practice Location

Language	Start Address	Practice Location

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