Provider Demographics
NPI:1376267021
Name:VOORIS, ALISON
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:VOORIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25351 MOOT POINT LN
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:MD
Mailing Address - Zip Code:21639-1234
Mailing Address - Country:US
Mailing Address - Phone:410-924-2877
Mailing Address - Fax:
Practice Address - Street 1:25351 MOOT POINT LN
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:MD
Practice Address - Zip Code:21639-1234
Practice Address - Country:US
Practice Address - Phone:410-924-2877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA0408103T00000X
MDLGP12121101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist