Allen, Brian Jeffrey

Allen, Brian Jeffrey is an individual health care provider with primary practice located at 2626 North Third Street Tlc Clinic, 2Nd Floor, Harrisburg PA 17110-2044. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Allen, Brian Jeffrey can be contacted via phone (717) 232-5443.

Contact Information

Primary practice address
2626 North Third Street Tlc Clinic, 2Nd Floor Harrisburg PA 17110-2044
Phone: (717) 232-5443
Fax: (717) 232-4553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS017579 Pennsylvania

Profile Details

NPI number 1437358223
LBN Legal business name Allen, Brian Jeffrey
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Apr 22nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437358223 NPPES
Pennsylvania MEDICAID 1029443740001

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