Individual
TERESA ALLARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 N DIXIE HWY, ELIZABETHTOWN, KY 42701-2621
(270) 765-2605
(270) 234-8572
Mailing address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
(270) 766-1222
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
127
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044434
ANTHEM
KY
01
—
11489585
CAQH
—
05
—
30605018
—
KY
01
—
341168
TRICARE
KY
Enumeration date
05/18/2006
Last updated
03/27/2017
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