Individual
DR. JIMMIE DEAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D
Contact information
Practice address
3505 FREDERICK AVE, SAINT JOSEPH, MO 64506-2914
(816) 387-2615
(816) 387-2390
Mailing address
3505 FREDEREICK AVE, ST. JOSEPH, MO 64506
(816) 387-2615
(816) 387-2390
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2001006337
MO
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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