Individual
ELIZABETH JO ALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
1201 JACKSON ST, NIAGARA, WI 54151-1233
(715) 251-4555
(715) 251-1754
Mailing address
1201 JACKSON ST, NIAGARA, WI 54151-1233
(715) 251-4555
(715) 251-1754
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008714
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
982471009899
PREFERRED ONE
—
Enumeration date
06/13/2006
Last updated
07/08/2007
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