Provider Demographics
NPI:1881438299
Name:FELLOWES COMLY, ALISON
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:FELLOWES COMLY
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 1:5217 WISCONSIN AVE NW STE 207
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-2075
Mailing Address - Country:US
Mailing Address - Phone:202-841-3697
Mailing Address - Fax:
Practice Address - Street 1:5217 WISCONSIN AVE NW STE 207
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2075
Practice Address - Country:US
Practice Address - Phone:202-841-3697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCC500781091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical