Provider Demographics
NPI:1699369439
Name:MCBLAIN, ALLISON
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:MCBLAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 EDGAR RD
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:DE
Mailing Address - Zip Code:19734-2418
Mailing Address - Country:US
Mailing Address - Phone:856-906-0402
Mailing Address - Fax:
Practice Address - Street 1:1167 W BALTIMORE PIKE # 258
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5127
Practice Address - Country:US
Practice Address - Phone:484-577-9928
Practice Address - Fax:484-585-1697
Is Sole Proprietor?:No
Enumeration Date:2021-02-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician