Provider Demographics
NPI:1801593918
Name:SHARPE, ALLISON LINDSAY (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:LINDSAY
Last Name:SHARPE
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 1:35 CATES RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:ME
Mailing Address - Zip Code:04921-3242
Mailing Address - Country:US
Mailing Address - Phone:973-723-5195
Mailing Address - Fax:
Practice Address - Street 1:2 FOOTBRIDGE RD
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-7206
Practice Address - Country:US
Practice Address - Phone:207-338-5307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP3827235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist