Provider Demographics
NPI:1730239427
Name:VERNON, ALICE J (MS, LPC)
Entity type:Individual
Prefix:MS
First Name:ALICE
Middle Name:J
Last Name:VERNON
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 GLEN DR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2930
Mailing Address - Country:US
Mailing Address - Phone:215-348-1327
Mailing Address - Fax:215-345-0552
Practice Address - Street 1:708 N SHADY RETREAT RD
Practice Address - Street 2:SUITE 1-B
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2503
Practice Address - Country:US
Practice Address - Phone:215-345-0550
Practice Address - Fax:215-345-0552
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000689101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor