Individual
RICHELLE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
113 FIRST STREET, CONNELLY, NY 12417-1241
(617) 610-7017
Mailing address
PO BOX 107, CONNELLY, NY 12417-0107
(617) 610-7017
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10350
MA
103TC0700X
Clinical Psychologist
022233
NY
Other
Enumeration date
04/12/2016
Last updated
01/25/2023
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