Individual
TERRY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4801 ALBERTA AVE., EL PASO, TX 79905-2702
(915) 545-6830
(915) 545-9799
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 545-9795
(915) 545-9799
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
22190
TX
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
22190
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86793A
BCBS OF TEXAS
TX
Enumeration date
07/17/2006
Last updated
09/11/2025
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