Provider Demographics
NPI:1568739126
Name:ROVNER, ALLISON JOY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:JOY
Last Name:ROVNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 ATLANTIC AVENUE
Mailing Address - Street 2:VIRTUA CASTLE PROGRAM
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08104
Mailing Address - Country:US
Mailing Address - Phone:856-246-3109
Mailing Address - Fax:856-246-3107
Practice Address - Street 1:1000 ATLANTIC AVE
Practice Address - Street 2:VIRTUA CASTLE PROGRAM
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08104-1132
Practice Address - Country:US
Practice Address - Phone:856-246-3109
Practice Address - Fax:856-246-3107
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05258500174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist