Provider Demographics
NPI:1982241634
Name:HUNTER-TALBOT, ALLYSON (LSW)
Entity Type:Individual
Prefix:MRS
First Name:ALLYSON
Middle Name:
Last Name:HUNTER-TALBOT
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 N UNION ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4630
Mailing Address - Country:US
Mailing Address - Phone:267-344-6945
Mailing Address - Fax:
Practice Address - Street 1:3300 HENRY AVE STE 113
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19129-1146
Practice Address - Country:US
Practice Address - Phone:215-254-2038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW009347L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker