Individual
DR. TERRENCE AGUSTUS ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
315 BROWN ST, PETERSBURG, VA 23803-4232
(804) 203-4477
(804) 805-2152
Mailing address
801 KINGSLAND RD, RICHMOND, VA 23231-8342
(804) 919-4014
(804) 805-2152
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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