Provider Demographics
NPI:1396506689
Name:ANDREWS, ALLYSON DOLL
Entity type:Individual
Prefix:MRS
First Name:ALLYSON
Middle Name:DOLL
Last Name:ANDREWS
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 1:24600 MANISTEE ST
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-1712
Mailing Address - Country:US
Mailing Address - Phone:313-888-1444
Mailing Address - Fax:
Practice Address - Street 1:220 S MAIN ST STE 226
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-2679
Practice Address - Country:US
Practice Address - Phone:313-451-4711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical