Provider Demographics
NPI:1891760674
Name:AGLIATA, ALLISON LYNN KANTER (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:LYNN KANTER
Last Name:AGLIATA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1809 SPARROW RDG
Mailing Address - Street 2:
Mailing Address - City:HAUGHTON
Mailing Address - State:LA
Mailing Address - Zip Code:71037-7498
Mailing Address - Country:US
Mailing Address - Phone:318-949-1024
Mailing Address - Fax:318-456-6610
Practice Address - Street 1:243 CURTISS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:BARKSDALE AFB
Practice Address - State:LA
Practice Address - Zip Code:71110-2425
Practice Address - Country:US
Practice Address - Phone:318-456-6600
Practice Address - Fax:318-456-6610
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist