Healthcare Provider Details

I. General information

NPI: 1447115902
Provider Name (Legal Business Name): ALISHA MCALLISTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 MARYLAND RD STE 130
WILLOW GROVE PA
19090-1223
US

IV. Provider business mailing address

1100 POWELL ST
NORRISTOWN PA
19401-3820
US

V. Phone/Fax

Practice location:
  • Phone: 610-277-4600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: