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Contact Information

CHARLES D ALLEN III, PSY.D.
1640 POWERS FERRY RD SE
BUILDING 27, SUITE 150
MARIETTA, GA30067-5491
 Phone: 770-428-8686
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHARLES D ALLEN III · (Male)

NPI Number 1508294869
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 10/24/2013
Last updated 10/24/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers Not Available
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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