Provider Demographics
NPI:1871700583
Name:SALLEE, ALLISON L (PHD, LMFT)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:L
Last Name:SALLEE
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6703 LEPRECHAUN DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-1302
Mailing Address - Country:US
Mailing Address - Phone:512-468-2040
Mailing Address - Fax:512-327-9777
Practice Address - Street 1:6703 LEPRECHAUN DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-1302
Practice Address - Country:US
Practice Address - Phone:512-468-2040
Practice Address - Fax:512-327-9777
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33378103T00000X
TX4851106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist