Provider Demographics
NPI:1942653902
Name:MYLES, ALLISON (DO)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:MYLES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:LOUDERMILK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:707 ALEXANDER RD STE 202
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-6331
Mailing Address - Country:US
Mailing Address - Phone:609-214-1330
Mailing Address - Fax:609-419-9200
Practice Address - Street 1:707 ALEXANDER RD STE 202
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-6331
Practice Address - Country:US
Practice Address - Phone:609-214-1330
Practice Address - Fax:609-419-9200
Is Sole Proprietor?:No
Enumeration Date:2016-07-14
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT0172492084P0800X
NJ25MB108386002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry