Provider Demographics
NPI:1043649973
Name:LANGE, ALLISON (MS, SLP-CY)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:LANGE
Suffix:
Gender:F
Credentials:MS, SLP-CY
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:1807 S 60TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-2151
Mailing Address - Country:US
Mailing Address - Phone:531-299-1080
Mailing Address - Fax:
Practice Address - Street 1:1807 S 60TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-2151
Practice Address - Country:US
Practice Address - Phone:531-299-1080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-01
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1699235Z00000X
NMC-5440235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist