Provider Demographics
NPI:1356364582
Name:MARKOWITZ, ALAN B (MA)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:B
Last Name:MARKOWITZ
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2824 COTTMAN AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-1400
Mailing Address - Country:US
Mailing Address - Phone:215-331-7707
Mailing Address - Fax:215-331-7790
Practice Address - Street 1:2824 COTTMAN AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-1400
Practice Address - Country:US
Practice Address - Phone:215-331-7707
Practice Address - Fax:215-331-7790
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC 003217101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional