Provider Demographics
NPI:1891153490
Name:ALDERMAN, ALLISON (RD, LDN, MS)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:ALDERMAN
Suffix:
Gender:F
Credentials:RD, LDN, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 NEW JERSEY AVE
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-3824
Mailing Address - Country:US
Mailing Address - Phone:904-535-7411
Mailing Address - Fax:
Practice Address - Street 1:5046 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-2802
Practice Address - Country:US
Practice Address - Phone:610-715-4685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-10
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1092595133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered