Provider Demographics
NPI:1316006687
Name:D'ALESSANDRO, JOHN C (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:D'ALESSANDRO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3655 ROUTE 202
Mailing Address - Street 2:SUITE 110
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-6600
Mailing Address - Country:US
Mailing Address - Phone:215-534-5762
Mailing Address - Fax:215-340-2524
Practice Address - Street 1:3655 ROUTE 202
Practice Address - Street 2:SUITE 110
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-6601
Practice Address - Country:US
Practice Address - Phone:215-534-5762
Practice Address - Fax:215-340-2524
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPS003080L103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014893080001Medicare ID - Type UnspecifiedPSYCHOLOGIST