ALAN PAUL WALICKE (NPI# 1861553661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861553661 |
| Entity Type | Individual |
| Full Name | ALAN PAUL WALICKE |
| Credential | CCC-SLP |
| Practice Address |
1903 Begonia Pl Prescott AZ 86303-5029 |
| Practice Telephone | 9285419508 |
| Mailing Telephone | 9285419508 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP0060 | AZ | Speech, Language and Hearing Service Providers |
| Street Address |
1903 BEGONIA PL |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86303-5029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
| 1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
| 1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
| 1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
| 1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
| 1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1457697989 | Kim K. Mcintyre | Counselor | 505 S. Cortez St., Prescott, AZ 86303 | 2013-01-03 |
| 1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
| 1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
| Find all providers in zip 86303 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959835 | Kristin Moore | Speech-Language Pathologist | 311 S Summit Ave, Prescott, AZ 86303-4115 | 2020-10-16 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1265830491 | Kelly Sue Smith | Speech-Language Pathologist | 210 Starpine Pl Unit A, Prescott, AZ 86303-7017 | 2014-12-22 |
| 1215345343 | Md Therapies LLC | Speech-Language Pathologist | 1801 Meadowridge Rd, Prescott, AZ 86305-5254 | 2014-08-01 |
| 1790119782 | Stephanie Hearn | Speech-Language Pathologist | 702 Flora St, Prescott, AZ 86301-1138 | 2013-08-26 |
| 1376892026 | Juanita Tabarez | Speech-Language Pathologist | 212 W Hillside Ave, Apt A, Prescott, AZ 86301-7502 | 2012-09-07 |
| 1407110836 | Jayne R Mcmanigal | Speech-Language Pathologist | 2900 W Crestview Dr, Prescott, AZ 86305-7007 | 2012-06-29 |
| 1578841086 | Andrea L Toliver-smith | Speech-Language Pathologist | 504 E 4th St N, Prescott, AR 71857-2254 | 2011-08-01 |
| 1003122243 | Patricia Ann Brown | Speech-Language Pathologist | 3176 Dome Rock Pl, Unit 14b, Prescott, AZ 86301-6602 | 2010-08-25 |
| 1548584295 | Julia Ascoly | Speech-Language Pathologist | 1986 Forest Vw, Prescott, AZ 86305-5112 | 2010-03-24 |
| Find all providers in PRESCOTT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.