Individual
JERRICA JANELLE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7100 E OLD MAPLE AVE, TERRE HAUTE, IN 47803-9602
(812) 562-9529
Mailing address
7100 E OLD MAPLE AVE, TERRE HAUTE, IN 47803-9602
(812) 562-9529
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043364B
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
02/18/2026
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