Provider Demographics
NPI:1114211331
Name:HIGHTOWER, ALISON (MS,CRC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:HIGHTOWER
Suffix:
Gender:F
Credentials:MS,CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 GRAVEL ST
Mailing Address - Street 2:
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18705-3738
Mailing Address - Country:US
Mailing Address - Phone:570-822-5653
Mailing Address - Fax:570-822-2475
Practice Address - Street 1:51 GRAVEL ST
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18705-3738
Practice Address - Country:US
Practice Address - Phone:570-822-5653
Practice Address - Fax:570-822-2475
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst