| Doctor Name: | MS. VICKIE BENDER ALSTON |
| NPI Number: | 1053618579 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW |
| License Number: | CT002460 |
| Business Practice Address: | 740 N Main St West Hartford, CT - 061172480 |
| Business Phone Number: | 8608362278 |
| Business Fax Number: | 8607526072 |
| Mailing Address: | 17 Wyncairne, EAST GRANBY |
| State: | CT |
| Postal Code: | 060269642 |
| Phone Number: | 8608362278 |
| Fax Number: | 8607526072 |
| NPI Enumeration Date: | 02/17/2011 |
| NPI Last Update Date: | 02/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CT002460 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |