Provider Demographics
NPI:1356373963
Name:ANDREWS, ALLISON RUTH (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:RUTH
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 WILDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02460-1322
Mailing Address - Country:US
Mailing Address - Phone:781-287-0277
Mailing Address - Fax:
Practice Address - Street 1:592 WASHINGTON ST
Practice Address - Street 2:SUITE A
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-6417
Practice Address - Country:US
Practice Address - Phone:781-287-0277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8401103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical