Provider Demographics
NPI:1295519551
Name:BITTNER, ALLYSON MARIE (LMFT-T)
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:MARIE
Last Name:BITTNER
Suffix:
Gender:F
Credentials:LMFT-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22306 W 52ND TER
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226-3891
Mailing Address - Country:US
Mailing Address - Phone:913-787-1698
Mailing Address - Fax:
Practice Address - Street 1:8014 STATE LINE RD STE 112
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-3712
Practice Address - Country:US
Practice Address - Phone:913-787-1698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMFT-03518-T106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist