Individual
DR. ALLEN D. BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
375 E HORSETOOTH RD, BUILDING 2; STE. 111, FORT COLLINS, CO 80525-3155
(970) 223-1293
(970) 225-0861
Mailing address
1236 E ELIZABETH ST, SUITE 2, FORT COLLINS, CO 80524-4000
(970) 488-1668
(970) 472-9381
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1250
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07012503
—
CO
Enumeration date
08/20/2006
Last updated
04/01/2014
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