Basic Information
| Provider Information | |||||||||
| NPI: | 1790960631 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SPAGNOLO | ||||||||
| FirstName: | ALISON | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | MISS | ||||||||
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| Credential: | SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9812 LOCKPORT RD | ||||||||
| Address2: | |||||||||
| City: | NIAGARA FALLS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 143041114 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7162971478 | ||||||||
| FaxNumber: | 7162050044 | ||||||||
| Practice Location | |||||||||
| Address1: | 9812 LOCKPORT RD | ||||||||
| Address2: | |||||||||
| City: | NIAGARA FALLS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 143041114 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7162971478 | ||||||||
| FaxNumber: | 7162050044 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/09/2008 | ||||||||
| LastUpdateDate: | 09/06/2019 | ||||||||
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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 | 014661-1 | NY | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.