Individual
DR. SETH R ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD, LP
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2007033978
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13759877
CAQH
MO
Enumeration date
11/09/2007
Last updated
03/18/2021
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