Provider Demographics
NPI:1073391694
Name:ALISON GURLEY, PSYD, PLLC
Entity Type:Organization
Organization Name:ALISON GURLEY, PSYD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:GURLEY HO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:978-835-5855
Mailing Address - Street 1:14 ALBAN ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02124-3709
Mailing Address - Country:US
Mailing Address - Phone:978-835-5855
Mailing Address - Fax:
Practice Address - Street 1:185 DEVONSHIRE ST STE 902
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02110-1413
Practice Address - Country:US
Practice Address - Phone:978-835-5855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1578044426Medicaid