Provider Demographics
NPI:1053569186
Name:HENRY, ALLISON R (MED, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:R
Last Name:HENRY
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7135 CHARLOTTE PIKE STE 102
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-5017
Mailing Address - Country:US
Mailing Address - Phone:615-540-8334
Mailing Address - Fax:
Practice Address - Street 1:7135 CHARLOTTE PIKE STE 102
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-5017
Practice Address - Country:US
Practice Address - Phone:615-540-8334
Practice Address - Fax:615-469-4321
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist