Provider Demographics
NPI:1194120352
Name:REED, ALISON M (MED, BSL)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:M
Last Name:REED
Suffix:
Gender:F
Credentials:MED, BSL
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:M
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2801 WOODLAND RD
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:PA
Mailing Address - Zip Code:19001-2242
Mailing Address - Country:US
Mailing Address - Phone:267-495-8589
Mailing Address - Fax:
Practice Address - Street 1:2801 WOODLAND RD
Practice Address - Street 2:
Practice Address - City:ROSLYN
Practice Address - State:PA
Practice Address - Zip Code:19001-2242
Practice Address - Country:US
Practice Address - Phone:267-495-8589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH002534103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst