Allison Southard, LMFT is a
Marriage & Family Therapist based in Holtsville, New York. Allison Southard is licensed to practice in New York (license number 000709-1) and her current practice location is
755 Waverly Ave, Suite 312, Holtsville, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 965-1502.
NPI number for Allison Southard is 1861624595 and her current mailing address is 18 Forest Lane, Coram, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861624595.
Healthcare Provider's Profile
Full Name | Allison Southard |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 755 Waverly Ave, Holtsville, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861624595
- Provider Enumeration Date: 08/13/2009
- Last Update Date: 01/12/2015
Medical Identifiers
Medical identifiers for Allison Southard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861624595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 000709-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Allison Southard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Allison Southard, LMFT 18 Forest Lane, Coram, NY 11727-3139 Ph: () - | Allison Southard, LMFT 755 Waverly Ave, Suite 312, Holtsville, NY 11742-1190 Ph: (631) 965-1502 |
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