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Contact Information

ALLEN R STATA, PHD, LCSW (PIP) ACSW
104 EDWARDS DRIVE
MARION, AL36756
 Phone: 334-815-2100
 Fax: 334-683-4114
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for ALLEN R STATA · (Male)

NPI Number 1861934705
Status Active
Credentials PHD, LCSW (PIP) ACSW
Entity Individual
Enumeration date 11/09/2016
Last updated 11/09/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 2235C
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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