Individual
SHAINA MORGAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED. S., NCSP
Contact information
Practice address
628 LAKE ST NE, WISE, VA 24293-7919
(276) 328-6113
Mailing address
16950 W HILLS DR, CASTLEWOOD, VA 24224-7018
(276) 698-0921
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0813000845
—
VA
Enumeration date
10/22/2018
Last updated
02/25/2022
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