Individual
MRS. TANDA JOY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3914 WASHINGTON ST, KANSAS CITY, MO 64111-2925
(816) 561-9494
(816) 561-8199
Mailing address
3914 WASHINGTON ST, KANSAS CITY, MO 64111-2925
(816) 561-9494
(816) 561-8199
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01712
MO
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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