Provider Demographics
NPI:1750754768
Name:SEXTON, ALLISON LYNN (SLP-CFY)
Entity type:Individual
Prefix:MISS
First Name:ALLISON
Middle Name:LYNN
Last Name:SEXTON
Suffix:
Gender:F
Credentials:SLP-CFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4615 SW 24TH PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-6728
Mailing Address - Country:US
Mailing Address - Phone:954-226-4628
Mailing Address - Fax:
Practice Address - Street 1:4615 SW 24TH PL
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-6728
Practice Address - Country:US
Practice Address - Phone:954-226-4628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ7181235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist