Provider Demographics
NPI:1023331006
Name:PEYUS, ALLISON (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:PEYUS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 88
Mailing Address - Street 2:
Mailing Address - City:DRYDEN
Mailing Address - State:NY
Mailing Address - Zip Code:13053-0088
Mailing Address - Country:US
Mailing Address - Phone:607-844-8694
Mailing Address - Fax:607-844-4733
Practice Address - Street 1:36 UNION STREET
Practice Address - Street 2:
Practice Address - City:DRYDEN
Practice Address - State:NY
Practice Address - Zip Code:13053-9617
Practice Address - Country:US
Practice Address - Phone:607-844-8684
Practice Address - Fax:607-844-4733
Is Sole Proprietor?:No
Enumeration Date:2010-03-05
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY081124-11041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool