Provider Demographics
NPI:1104114438
Name:MCALLISTER, SUMMER D (ND)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:D
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 EAST AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4903
Mailing Address - Country:US
Mailing Address - Phone:877-437-3537
Mailing Address - Fax:917-456-0362
Practice Address - Street 1:71 EAST AVE
Practice Address - Street 2:SUITE D
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4903
Practice Address - Country:US
Practice Address - Phone:877-437-3537
Practice Address - Fax:917-456-0362
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000451175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath