Provider Demographics
NPI:1972179406
Name:SPINNER, ALLISON NICOLE
Entity Type:Individual
Prefix:MISS
First Name:ALLISON
Middle Name:NICOLE
Last Name:SPINNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-3631
Mailing Address - Country:US
Mailing Address - Phone:631-885-8990
Mailing Address - Fax:631-935-0006
Practice Address - Street 1:19 VALENTINE AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-4952
Practice Address - Country:US
Practice Address - Phone:516-581-4242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-03
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NY011340-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health