Healthcare Provider Details

I. General information

NPI: 1588288047
Provider Name (Legal Business Name): ALLISON MARIE CAREY PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALLISON MARIE DEL CONTE

II. Dates (important events)

Enumeration Date: 06/01/2020
Last Update Date: 01/10/2022
Certification Date: 01/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 CLEMENT AVE STE A
ALAMEDA CA
94501-7061
US

IV. Provider business mailing address

3301 E 12TH ST
OAKLAND CA
94601-3424
US

V. Phone/Fax

Practice location:
  • Phone: 510-629-6300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: