Provider Demographics
NPI:1679647374
Name:NORVILLE, ALISON KENDRA (MA)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:KENDRA
Last Name:NORVILLE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9505 HIGHGATE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-2119
Mailing Address - Country:US
Mailing Address - Phone:803-788-6184
Mailing Address - Fax:
Practice Address - Street 1:9505 HIGHGATE RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-2119
Practice Address - Country:US
Practice Address - Phone:803-788-6184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health