Provider Demographics
NPI:1790945384
Name:SPROUL, ALLYSON (LCSW, CAADC)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:
Last Name:SPROUL
Suffix:
Gender:F
Credentials:LCSW, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 GARRETT RD STE A
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-2201
Mailing Address - Country:US
Mailing Address - Phone:484-466-4737
Mailing Address - Fax:
Practice Address - Street 1:3001 GARRETT RD STE A
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-2201
Practice Address - Country:US
Practice Address - Phone:484-466-4737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical