Organization
DAN H ALLEN PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN HARRISON ALLEN PHD (OWNER)
(843) 669-9515
Entity
Organization
Contact information
Practice address
315 W PINE ST, FLORENCE, SC 29501-4726
(843) 669-9515
(843) 669-9514
Mailing address
PO BOX 12518, FLORENCE, SC 29504-2518
(843) 669-9515
(843) 669-9514
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
535
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSO160
—
SC
Enumeration date
01/31/2007
Last updated
10/17/2007
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