Provider Demographics
NPI:1497568067
Name:KORMAN, ALYSON N
Entity type:Individual
Prefix:
First Name:ALYSON
Middle Name:N
Last Name:KORMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALYSON
Other - Middle Name:N
Other - Last Name:HOWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2212 S CARLISLE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-3925
Mailing Address - Country:US
Mailing Address - Phone:856-924-1076
Mailing Address - Fax:
Practice Address - Street 1:115 E 5TH ST
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:NJ
Practice Address - Zip Code:08065-2622
Practice Address - Country:US
Practice Address - Phone:856-214-8290
Practice Address - Fax:856-214-8290
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT08901363401041C0700X
NJ44SC064177001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical