Basic Information
| Provider Information | |||||||||
| NPI: | 1578032140 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHULZE | ||||||||
| FirstName: | ALLISON | ||||||||
| MiddleName: | MATHIS | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MS, CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9519 BURTON AVE | ||||||||
| Address2: | |||||||||
| City: | PARKVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212343301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6092473341 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 8600 LASALLE ROAD | ||||||||
| Address2: | SUITE 335 | ||||||||
| City: | TOWSON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21286 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4108230880 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/13/2018 | ||||||||
| LastUpdateDate: | 11/13/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 07815 | MD | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.