Individual
RONALD LYNN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9217 PARK WEST BLVD, SUITE D-1, KNOXVILLE, TN 37923-4404
(865) 691-2425
(865) 531-8440
Mailing address
9217 PARK WEST BLVD, SUITE D-1, KNOXVILLE, TN 37923-4404
(865) 691-2425
(865) 531-8440
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
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