Provider Demographics
NPI:1427481894
Name:NIEBES-DAVIS, ALLISON JANINE (PHD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:JANINE
Last Name:NIEBES-DAVIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1327 BUTTERFIELD RD STE 604
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1008
Mailing Address - Country:US
Mailing Address - Phone:630-441-4415
Mailing Address - Fax:
Practice Address - Street 1:1327 BUTTERFIELD RD STE 604
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1008
Practice Address - Country:US
Practice Address - Phone:630-441-4415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist