NPI Profile for MARYA ALLEN in BLACKWELL, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Clinical |
103TC0700X | 62 | Psychologist, Clinical |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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MARYA ALLEN
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