Individual
DR. JANELLE W. ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
301 TROY DR, MJTC, MADISON, WI 53704-1521
(608) 301-1222
(608) 301-1436
Mailing address
4143 S SUNSET CT, MADISON, WI 53705-5140
(608) 238-3159
(608) 238-3159
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1931-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1931-057
WISCONSIN LICENSE
WI
05
—
39138000
—
WI
01
—
50448
NATIONAL REGISTER
WI
01
—
PSY 10290
CALIFORNIA LICENSE
CA
Enumeration date
10/05/2006
Last updated
07/08/2007
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