Provider Demographics
NPI:1184953655
Name:D'ALEO, JOHANNA (CD(DONA), HBE)
Entity type:Individual
Prefix:
First Name:JOHANNA
Middle Name:
Last Name:D'ALEO
Suffix:
Gender:F
Credentials:CD(DONA), HBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MOUNTAIN REST RD
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-2815
Mailing Address - Country:US
Mailing Address - Phone:845-901-7431
Mailing Address - Fax:
Practice Address - Street 1:111 MOUNTAIN REST RD
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-2815
Practice Address - Country:US
Practice Address - Phone:845-901-7431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-13
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula