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Organization

KENNETH D. ALLRED, PH.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH D. ALLRED PH.D. (CLINICAL PSYCHOLOGIST)
(719) 590-6005
Entity
Organization

Contact information

Practice address
121 SOUTH TEJON ST., SUITE 1107, COLORADO SPRINGS, CO 80903-2214
(719) 590-6005
(719) 590-6030
Mailing address
121 SOUTH TEJON ST., SUITE 1107, COLORADO SPRINGS, CO 80903-2214
(719) 590-6005
(719) 590-6030

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1533
CO

Other

Enumeration date
09/30/2010
Last updated
09/30/2010
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