Individual
ALLISON B GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
825 N CEDAR CREST BLVD, ALLENTOWN, PA 18104-3437
(484) 274-4193
Mailing address
825 N CEDAR CREST BLVD, ALLENTOWN, PA 18104-3437
(484) 274-4193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
Primary
PS017089
PA
Other
Enumeration date
03/05/2007
Last updated
02/03/2016
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