Provider Demographics
NPI:1730236829
Name:KAYS, ALLISON BROOKE (MS, CF, SLP)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:BROOKE
Last Name:KAYS
Suffix:
Gender:F
Credentials:MS, CF, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1628 UPLAND RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-4143
Mailing Address - Country:US
Mailing Address - Phone:304-638-1079
Mailing Address - Fax:304-736-4851
Practice Address - Street 1:3427 US ROUTE 60 EAST
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504
Practice Address - Country:US
Practice Address - Phone:304-736-8255
Practice Address - Fax:304-736-4851
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVPSLP-0372235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist