Provider Demographics
NPI:1073860649
Name:ALLISON, HAYLEY M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HAYLEY
Middle Name:M
Last Name:ALLISON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 70253
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99707-0253
Mailing Address - Country:US
Mailing Address - Phone:907-378-0139
Mailing Address - Fax:877-645-2882
Practice Address - Street 1:909 CUSHMAN ST STE 205
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-4668
Practice Address - Country:US
Practice Address - Phone:907-378-0139
Practice Address - Fax:877-645-2882
Is Sole Proprietor?:No
Enumeration Date:2012-08-13
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK636103T00000X, 103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103T00000XBehavioral Health & Social Service ProvidersPsychologist