Individual
RONALD LYNN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
P1392
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005918
BLUE CROSS BLUE SHIELD
TN
05
—
3680005
—
TN
01
—
P1392
PSYCHOLOGIST LICENSE
TN
Enumeration date
03/05/2007
Last updated
07/08/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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