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Individual

DR. MOLLY ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
727 N WACO AVE STE 255, WICHITA, KS 67203-3953
(316) 260-4587
(316) 260-4676
Mailing address
727 N WACO AVE STE 255, WICHITA, KS 67203-3953
(316) 260-4587
(316) 260-4676

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
855
KS
103TC0700X
Clinical Psychologist
855
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100241200B
KS
Enumeration date
02/21/2006
Last updated
01/12/2021
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