Basic Information
| Provider Information | |||||||||
| NPI: | 1295451151 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCWEENEY | ||||||||
| FirstName: | ALLISON | ||||||||
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| Credential: | CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 61 CAPITAL DR | ||||||||
| Address2: | |||||||||
| City: | WASHINGTONVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 109921345 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 170 BUFFALO AVE | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112132421 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182529800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2022 | ||||||||
| LastUpdateDate: | 10/12/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/12/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 029933 | NY | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.