Provider Demographics
NPI:1316223852
Name:DOWNEY, ALISON KATHLEEN (LAC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:KATHLEEN
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 ARDEN CREEK WAY APT 6307
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-8049
Mailing Address - Country:US
Mailing Address - Phone:415-949-8176
Mailing Address - Fax:
Practice Address - Street 1:1110 ROSE HILL DR STE 101
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-5160
Practice Address - Country:US
Practice Address - Phone:415-949-8176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-28
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC547171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist