Individual
JEANNE ELLEN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
110 MORDINGTON AVENUE, JEFFERSON COUNTY BOARD OF EDUCATION, CHARLESTOWN, WV 25414
(304) 725-9741
Mailing address
126 SIALIA WAY, MARTINSBURG, WV 25404
(304) 274-4091
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10013
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165627000
—
WV
Enumeration date
03/10/2008
Last updated
03/10/2008
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