Provider Demographics
NPI:1487100855
Name:FLETCHER, ALLISON (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 CITYGATE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3591
Mailing Address - Country:US
Mailing Address - Phone:614-445-3750
Mailing Address - Fax:
Practice Address - Street 1:6865 GENDER RD
Practice Address - Street 2:
Practice Address - City:CANAL WNCHSTR
Practice Address - State:OH
Practice Address - Zip Code:43110-8282
Practice Address - Country:US
Practice Address - Phone:614-833-2150
Practice Address - Fax:614-833-2161
Is Sole Proprietor?:No
Enumeration Date:2016-08-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH11373235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist