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Contact Information

MARYA ALLEN, LMLP, LMAC, LBP
1313 W FERGUSON AVE
BLACKWELL, OK74631-5604
 Phone: 580-363-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARYA ALLEN · (Female)

NPI Number 1992747968
Status Active
Credentials LMLP, LMAC, LBP
Entity Individual
Enumeration date 06/12/2006
Last updated 12/29/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 1237
  • KS License # 728
  • OK License # 10397
  • KS Other 389893 BLUE CROSS BLUE SHIELD
  • KS Other 12989 PREFERRED HEALTH SYSTEMS
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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