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NPI Code Detail

MEDICARE: ALLISON M NEWBERRY LPC

MEDICARE: ALLISON M NEWBERRY LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorPC012515PA

General Provider Information

NPI Number : 1720697386
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON M NEWBERRY LPC
Provider Business Mailing Address
First Line : 781 N JUDSON ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-2507
Country : US
Telephone Number : 215-282-3004
Fax Number :
Provider Business Practice Location Address
First Line : 2566 FRANKFORD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19125-1743
Country : US
Telephone Number : 215-995-4137
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2020
Last Update Date : 02/04/2026

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