Provider Demographics
NPI:1427645670
Name:ALSTON, ALONZO LAMONT (MA)
Entity type:Individual
Prefix:
First Name:ALONZO
Middle Name:LAMONT
Last Name:ALSTON
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 CENTRE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-4396
Mailing Address - Country:US
Mailing Address - Phone:412-392-4400
Mailing Address - Fax:
Practice Address - Street 1:1835 CENTRE AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-4305
Practice Address - Country:US
Practice Address - Phone:412-383-1575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-22
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty