Provider Demographics
NPI:1497154132
Name:MCMULLIN, ALISON BRIE (LPC)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:BRIE
Last Name:MCMULLIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 E GRAVERS LANE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118
Mailing Address - Country:US
Mailing Address - Phone:215-870-3218
Mailing Address - Fax:215-643-9844
Practice Address - Street 1:390 COMMERCE DRIVE
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034
Practice Address - Country:US
Practice Address - Phone:267-415-6448
Practice Address - Fax:267-417-3588
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007709101Y00000X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty