Individual
ALLISON FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
107 E COLLEGE AVE, SUITE 101, WESTERVILLE, OH 43081-1658
(614) 398-9624
Mailing address
6575 LAKE OF THE WOODS PT, GALENA, OH 43021-9616
(614) 398-9624
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5407
—
Other
Enumeration date
10/06/2013
Last updated
10/06/2013
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