Provider Demographics
NPI:1508144155
Name:CHRISTINE, ALLISON LEIGH (MS ED)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:LEIGH
Last Name:CHRISTINE
Suffix:
Gender:F
Credentials:MS ED
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Other - Credentials:
Mailing Address - Street 1:5625 QUARTERPATH GATE
Mailing Address - Street 2:VIRGINIA BEACH
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-6720
Mailing Address - Country:US
Mailing Address - Phone:757-409-0103
Mailing Address - Fax:
Practice Address - Street 1:2708 NE 14TH ST., BUTTERFLY EFFECTS
Practice Address - Street 2:SUITE 5
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062
Practice Address - Country:US
Practice Address - Phone:888-880-9270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist