Provider Demographics
NPI:1831100890
Name:DRU, ALLISON (PHD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:
Last Name:DRU
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:DRU
Other - Last Name:CHABOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:5 EDGEWOLD LN
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-2124
Mailing Address - Country:US
Mailing Address - Phone:215-219-7892
Mailing Address - Fax:
Practice Address - Street 1:5 EDGEWOLD LANE
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063
Practice Address - Country:US
Practice Address - Phone:215-219-7892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2025-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015514103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA084051Medicare ID - Type UnspecifiedPROVIDER NUMBER