Provider Demographics
NPI:1386371987
Name:TERRELL, ALLISON ECHARD (MT-BC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:ECHARD
Last Name:TERRELL
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-4907
Mailing Address - Country:US
Mailing Address - Phone:540-830-3266
Mailing Address - Fax:
Practice Address - Street 1:35 MORNINGSIDE DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-4907
Practice Address - Country:US
Practice Address - Phone:540-830-3266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA11551225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist