Provider Demographics
NPI:1770151680
Name:MCARDLE, ALLISON R (MHC)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:R
Last Name:MCARDLE
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:R
Other - Last Name:CHATLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:160 RALSTON AVE.
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217
Mailing Address - Country:US
Mailing Address - Phone:716-550-2627
Mailing Address - Fax:
Practice Address - Street 1:1526 WALDEN AVE.
Practice Address - Street 2:SUITE 400
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225
Practice Address - Country:US
Practice Address - Phone:716-895-6700
Practice Address - Fax:716-332-4488
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-16
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013594101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health