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Contact Information

ALLISON SOUTHARD, LMFT
755 WAVERLY AVE
SUITE 312
HOLTSVILLE, NY11742-1190
 Phone: 631-965-1502
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for ALLISON SOUTHARD · (Female)

NPI Number 1861624595
Status Active
Credentials LMFT (Licensed Marriage and Family Therapist)
Entity Individual
Enumeration date 08/13/2009
Last updated 01/12/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 000709-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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