Provider Demographics
NPI:1457620205
Name:MUELLER, ALLISON (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:
Last Name:MUELLER
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 1:101 HILLSIDE AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:WILLISTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11596-2347
Mailing Address - Country:US
Mailing Address - Phone:516-380-8110
Mailing Address - Fax:
Practice Address - Street 1:101 HILLSIDE AVE
Practice Address - Street 2:SUITE D
Practice Address - City:WILLISTON PARK
Practice Address - State:NY
Practice Address - Zip Code:11596-2347
Practice Address - Country:US
Practice Address - Phone:516-380-8110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-23
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018708103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist