Provider Demographics
NPI:1306558580
Name:EMBOW, ALISON (MED LPC)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:EMBOW
Suffix:
Gender:F
Credentials:MED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 CLEMENS RD
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4864
Mailing Address - Country:US
Mailing Address - Phone:626-864-5998
Mailing Address - Fax:
Practice Address - Street 1:3359 DURHAM RD
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-6545
Practice Address - Country:US
Practice Address - Phone:267-864-1674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PC013446101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health