Provider Demographics
NPI:1912732538
Name:ROUND, ALLISON L (MS)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:L
Last Name:ROUND
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 HIGH ST APT B
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-3182
Mailing Address - Country:US
Mailing Address - Phone:330-999-0653
Mailing Address - Fax:
Practice Address - Street 1:469 CENTERVILLE RD STE 105
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4356
Practice Address - Country:US
Practice Address - Phone:401-773-3685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMFT00025-A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist