Individual
ALLISEN LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2310 130TH AVE NE APT 1524, BELLEVUE, WA 98005-1799
(206) 627-0109
(614) 722-4718
Mailing address
700 CHILDREN'S DRIVE, DEPARTMENT OF PSYCHOLOGY, COLUMBUS, OH 43205
(614) 722-4700
(614) 722-4718
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY61049964
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
09/11/2018
Last updated
03/29/2021
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