Organization
BEHAVIORAL HEALTH ASSESSMENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH ALLEN PH.D (DIRECTOR)
(800) 207-1592
Entity
Organization
Contact information
Practice address
1410 GLASGOW LN, ALLEN, TX 75013-4685
(800) 207-1592
Mailing address
1410 GLASGOW LN, ALLEN, TX 75013-4685
(800) 207-1592
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
24433
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084181901
—
TX
Enumeration date
05/02/2007
Last updated
07/17/2008
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