Basic Information
| Provider Information | |||||||||
| NPI: | 1689941973 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCALLISTER | ||||||||
| FirstName: | KARISA | ||||||||
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| Credential: | MS, CC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1016 MILWAUKEE AVE | ||||||||
| Address2: | |||||||||
| City: | SOUTH MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 531722006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4145715566 | ||||||||
| FaxNumber: | 4145715568 | ||||||||
| Practice Location | |||||||||
| Address1: | 3090 N 53RD ST | ||||||||
| Address2: | |||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532101617 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4144494444 | ||||||||
| FaxNumber: | 4144494448 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2011 | ||||||||
| LastUpdateDate: | 12/02/2011 | ||||||||
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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 | 3624-154 | WI | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.