Provider Demographics
NPI:1801235932
Name:BUCHHOLZ, ALISON SHEARON (PHD)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:SHEARON
Last Name:BUCHHOLZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6201 GREENLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:410-933-1340
Mailing Address - Fax:
Practice Address - Street 1:600 N WOFLE ST. SUITE 218, JOHNS HOPKINS HOSPITAL,
Practice Address - Street 2:DIV. OF MED. PSYCH.,DEPT. OF PSYCHIATRY,MEYER BUILDING
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-7218
Practice Address - Country:US
Practice Address - Phone:410-955-3268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06398103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD06398OtherMD LICENSE