Alice D Gresham

Address: 2025 Conlyn St, Philadelphia, PA 19138-2925
Phone: 9366627478

Alice D Gresham (NPI# 1891315453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1891315453
Entity Type Individual
Full Name Alice D Gresham
Credential M.A.
Gender Female
Practice Address 2025 Conlyn St
PA 19138-2925
Practice Telephone 9366627478
Mailing Address 2025 Conlyn St
PA 19138-2925
Mailing Telephone 9366627478
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-04-23
Last Update Date 2020-04-23

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101Y00000X Counselor Behavioral Health & Social Service Providers
No 101YM0800X Counselor · Mental Health Behavioral Health & Social Service Providers

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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Office Location

Street Address 2025 CONLYN ST
State PA
Zip Code 19138-2925

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043788227 Clinica Pharmacy Inc Pharmacy 7157 Ogontz Ave, Philadelphia, PA 19138 2018-11-06
1184152308 Prime Choice Dental, Inc Dentist 7155 Ogontz Ave, Philadelphia, PA 19138 2017-06-01
1063950376 Prodigy Home Care Home Health 6137 Limekiln Pike, Phiadelphia, PA 19138 2017-02-07
1194275313 William Gary George Jr. Marriage & Family Therapist 7101 N 20th St., Phila, PA 19138 2016-10-12
1790234490 Gary Downing Counselor 5702 Boyer St., Philadelphia, PA 19138 2016-09-23
1093153785 Northwest Medical & Rehabilitation Center PC Internal Medicine 6315 Stenton Ave, Philadelphia, PA 19138 2013-06-05
1902045586 America's Best Contacts & Eyeglasses Technician/Technologist 5301 Chew Ave. B1, Philadelphia, PA 19138 2009-02-05
1588848477 Tasha Carol Smith Licensed Practical Nurse 6947 Cedarpark Avenue, Phiadelphia, PA 19138 2007-12-27
1730107970 Gregory Alan Nelson Internal Medicine 6315-17 Stenton Avenue, Philadelphia, PA 19138 2006-07-17
1588699706 Michael D Helzner Family Medicine 1909/17 E Washington Lane, Philadelphia, PA 19138 2006-07-12
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Zip Code 19138

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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