Individual
GEORGE DAVID ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1062 MAPLE DR STE 1, MORGANTOWN, WV 26505-0809
(304) 599-5751
Mailing address
1062 MAPLE DR STE 1, MORGANTOWN, WV 26505-0809
(304) 599-5751
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
725
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000132232
MT. STATE BC/BS
WV
05
—
0165165000
—
WV
Enumeration date
07/25/2006
Last updated
04/26/2010
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