Provider Demographics
NPI:1104456748
Name:NEOV, ALISON (RD, CSG)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:NEOV
Suffix:
Gender:F
Credentials:RD, CSG
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:LIGGETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, CSG
Mailing Address - Street 1:2810 LEE OAKS PL UNIT 201
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-7343
Mailing Address - Country:US
Mailing Address - Phone:703-895-2448
Mailing Address - Fax:
Practice Address - Street 1:3440 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-3145
Practice Address - Country:US
Practice Address - Phone:703-578-7252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-23
Last Update Date:2024-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA86022455133VN1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1101XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Gerontological
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA86022455OtherCOMMISSION ON DIETETIC REGISTRATION