Provider Demographics
NPI:1831909613
Name:GIDUSKO, ALLISON JEAN (MS)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:JEAN
Last Name:GIDUSKO
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 1:90C MUNICIPAL RD
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-8981
Mailing Address - Country:US
Mailing Address - Phone:717-965-5907
Mailing Address - Fax:
Practice Address - Street 1:3000 MANCHESTER RD STE B
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MD
Practice Address - Zip Code:21102-1850
Practice Address - Country:US
Practice Address - Phone:410-861-0066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health