Provider Demographics
NPI:1003318882
Name:REESE, ALLISON MARY
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MARY
Last Name:REESE
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 1:41 KITTREDGE RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-5972
Mailing Address - Country:US
Mailing Address - Phone:978-727-4930
Mailing Address - Fax:
Practice Address - Street 1:1500 BOSTON PROVIDENCE TPKE STE 38
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4631
Practice Address - Country:US
Practice Address - Phone:781-747-8497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC10002677101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health