Individual
MR. JEFFREY J ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.C.P.
Contact information
Practice address
133 ELM ST., MONTPELIER, VT 05602-3172
(802) 223-4342
(802) 223-7311
Mailing address
PO BOX 659, MONTPELIER, VT 05601-0659
(802) 223-4342
(802) 223-7311
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ALLE 062 9965
BLUE CROSS BLUE SHIELD
VT
01
—
OVN1676
VERMONT MEDICAID
VT
Enumeration date
04/26/2006
Last updated
07/08/2007
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