Provider Demographics
NPI:1720215007
Name:ALLESBERRY, ALTON DORRAND SR (MED)
Entity Type:Individual
Prefix:
First Name:ALTON
Middle Name:DORRAND
Last Name:ALLESBERRY
Suffix:SR
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1527 SYLVAN TER
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-1236
Mailing Address - Country:US
Mailing Address - Phone:412-731-3431
Mailing Address - Fax:
Practice Address - Street 1:8324 OHIO RIVER BLVD
Practice Address - Street 2:
Practice Address - City:EMSWORTH
Practice Address - State:PA
Practice Address - Zip Code:15202-1466
Practice Address - Country:US
Practice Address - Phone:412-761-0236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-15
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)