Individual
DR. BONNIE RUTH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1622 24TH AVE, MERIDIAN, MS 39301-3111
(601) 485-5225
(601) 485-5225
Mailing address
1622 24TH AVE, MERIDIAN, MS 39301-3111
(601) 485-5225
(601) 485-5225
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
409
MS
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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