Individual
KIRSTEN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
80 PEACHTREE PARK DR NE, ATLANTA, GA 30309-1304
(404) 603-4314
Mailing address
1685 BRIARCLIFF RD NE APT 6, ATLANTA, GA 30306-2127
(859) 552-7367
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
004309
GA
Other
Enumeration date
11/22/2014
Last updated
08/07/2019
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