Basic Information
| Provider Information | |||||||||
| NPI: | 1912091125 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FLOYD | ||||||||
| FirstName: | ALLISON | ||||||||
| MiddleName: | K. | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | SR. | ||||||||
| Credential: | SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 719 CARRIAGE LAKE DR | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 29072 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8039511833 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6439 GARNERS FERRY RD. | ||||||||
| Address2: | |||||||||
| City: | COLUMBIA | ||||||||
| State: | SC | ||||||||
| PostalCode: | 292091639 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8037764000 | ||||||||
| FaxNumber: | 8036957908 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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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 | 2131 | SC | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
ID Information
| ID | Type | State | Issuer | Description | 2131 | 01 | SC | STATE OF SC LICENSE | OTHER |