Provider Demographics
NPI:1851733927
Name:SPLAUN, ALLISON BROOKE KEISLER (PHD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:BROOKE KEISLER
Last Name:SPLAUN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 E MARKET ST
Mailing Address - Street 2:SUITE 201B #1
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-5261
Mailing Address - Country:US
Mailing Address - Phone:434-989-9240
Mailing Address - Fax:
Practice Address - Street 1:408 E MARKET ST
Practice Address - Street 2:SUITE 201B #1
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-5261
Practice Address - Country:US
Practice Address - Phone:434-989-9240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-18
Last Update Date:2015-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist