Provider Demographics
NPI:1932459088
Name:ALLISON, AMY ELIZABETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:ELIZABETH
Last Name:ALLISON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:AMY
Other - Middle Name:ELIZABETH
Other - Last Name:LOWERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:321 E 61ST ST FL 4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-8204
Mailing Address - Country:US
Mailing Address - Phone:347-461-7430
Mailing Address - Fax:929-321-7270
Practice Address - Street 1:321 E 61ST ST FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8204
Practice Address - Country:US
Practice Address - Phone:347-461-7430
Practice Address - Fax:929-321-7270
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY003902103T00000X
NJ35SI00621600103TC0700X
NY019501-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY019501-1OtherNY LICENSE
NJ35SI00621600OtherNJ LICENSE
GAPSY003902OtherGA LICENSES