Provider Demographics
NPI:1447598305
Name:MAY, ALISON LEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:LEE
Last Name:MAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4736 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-2573
Mailing Address - Country:US
Mailing Address - Phone:847-674-0946
Mailing Address - Fax:
Practice Address - Street 1:4736 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-2573
Practice Address - Country:US
Practice Address - Phone:847-674-0946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-27
Last Update Date:2013-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL46-1846354OtherFEDERAL GOVERNMENT EMPOLYEE IDENTIFICATION NUMBER