Provider Demographics
NPI:1588184832
Name:HAYHOE, ALLISON VERCELLONE (MS)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:VERCELLONE
Last Name:HAYHOE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:CHRISTINE
Other - Last Name:VERCELLONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLP
Mailing Address - Street 1:5891 ANDOVER RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-6202
Mailing Address - Country:US
Mailing Address - Phone:586-201-2659
Mailing Address - Fax:
Practice Address - Street 1:200 E BIG BEAVER RD STE 123
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1208
Practice Address - Country:US
Practice Address - Phone:734-265-0841
Practice Address - Fax:248-994-8090
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6361000055103TC2200X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent