Individual
DR. CHARLES DANIEL ALLEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1640 POWERS FERRY RD SE, BUILDING 27, SUITE 150, MARIETTA, GA 30067-5491
(770) 428-8686
Mailing address
1640 POWERS FERRY RD SE, BUILDING 27, SUITE 150, MARIETTA, GA 30067-5491
(770) 428-8686
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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