Provider Demographics
NPI:1841347887
Name:DINNEEN, ALLYSON M (MED)
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:M
Last Name:DINNEEN
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19 PINE ST
Mailing Address - Street 2:APARTMENT 2
Mailing Address - City:GREAT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230-1417
Mailing Address - Country:US
Mailing Address - Phone:413-528-0477
Mailing Address - Fax:
Practice Address - Street 1:60 COTTAGE ST
Practice Address - Street 2:MAIN ST HUMAN RESOURCES BRIEN CENTER
Practice Address - City:GREAT BARRINGTON
Practice Address - State:MA
Practice Address - Zip Code:01230-1302
Practice Address - Country:US
Practice Address - Phone:413-528-9155
Practice Address - Fax:413-528-8187
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA37239OtherHEALTH NEW ENGLAND