Provider Demographics
NPI:1255707154
Name:HOLDIP, ALLISON (LPC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:HOLDIP
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:PICKETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 351
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17315-0351
Mailing Address - Country:US
Mailing Address - Phone:484-442-0205
Mailing Address - Fax:
Practice Address - Street 1:1527 WINSFORD LN
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-9080
Practice Address - Country:US
Practice Address - Phone:484-442-0205
Practice Address - Fax:844-910-1842
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-13
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008244101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1033917500002Medicaid