Provider Demographics
NPI:1932756830
Name:GREEN-ALSTON, DANIELLE YVETTE (MA)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:YVETTE
Last Name:GREEN-ALSTON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 KNIGHTS RD APT 4-48
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-2872
Mailing Address - Country:US
Mailing Address - Phone:267-270-9229
Mailing Address - Fax:
Practice Address - Street 1:3131 KNIGHTS RD APT 4-48
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2872
Practice Address - Country:US
Practice Address - Phone:267-270-9229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-25
Last Update Date:2019-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health