Individual
HEATHER L ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2870 NE WEST DEVILS LAKE RD, LINCOLN CITY, OR 97367-5127
(541) 994-9191
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
3894
OR
103T00000X
Psychologist
PY61161855
WA
103TC0700X
Clinical Psychologist
PY61161855
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0441702
LABOR AND INDUSTRIES
WA
05
—
2184266
—
WA
05
—
500725172
—
OR
Enumeration date
01/18/2017
Last updated
09/04/2025
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