Provider Demographics
NPI:1467758003
Name:STEWART, ALLISON MARIE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:MARIE
Last Name:STEWART
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 LAKEVIEW BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-4135
Mailing Address - Country:US
Mailing Address - Phone:830-481-9470
Mailing Address - Fax:
Practice Address - Street 1:921 LAKEVIEW BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-4135
Practice Address - Country:US
Practice Address - Phone:830-481-9470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-30
Last Update Date:2016-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34737103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX283029101Medicaid
TX283029101Medicaid