Provider Demographics
NPI:1295245413
Name:LEVIN, ALISON
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:LEVIN
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 1:240 OLD LANCASTER RD
Mailing Address - Street 2:
Mailing Address - City:MERION STA
Mailing Address - State:PA
Mailing Address - Zip Code:19066-1750
Mailing Address - Country:US
Mailing Address - Phone:610-764-5967
Mailing Address - Fax:
Practice Address - Street 1:240 OLD LANCASTER RD
Practice Address - Street 2:
Practice Address - City:MERION STA
Practice Address - State:PA
Practice Address - Zip Code:19066-1750
Practice Address - Country:US
Practice Address - Phone:610-764-5967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician