Provider Demographics
NPI:1588890867
Name:QUISPE, ALISON B (MA LMFT)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:B
Last Name:QUISPE
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:B
Other - Last Name:STOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA LMFT
Mailing Address - Street 1:3 MILN ST UNIT 1646
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-6461
Mailing Address - Country:US
Mailing Address - Phone:908-312-1347
Mailing Address - Fax:
Practice Address - Street 1:28 MILLBURN AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1039
Practice Address - Country:US
Practice Address - Phone:908-312-1347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-01
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
NJ37FI00169900106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist