Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alise Garrison

Individual provider Speech-Language Pathologist · NPI 1790431484

Alise Garrison is a Qualified Speech Language Pathologist in Peoria, Illinois. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2022
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Practice location Address checks out

507 E Armstrong Ave
Peoria, IL 61603-3201
Phone: (309) 686-1177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146016616 (IL)

Record details

NPI number1790431484
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 22, 2022
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026
Mailing address7008 N Manning Dr, Peoria, IL 61614-1912

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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