Allen, Dian R

Allen, Dian R is an sole proprietor health care provider with primary practice located at 526 Tennessee St , Vallejo CA 94590-4431. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Allen, Dian R can be contacted via phone (707) 331-8551.

Contact Information

Primary practice address
526 Tennessee St Vallejo CA 94590-4431
Phone: (707) 331-8551
Fax: (707) 980-6576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1300 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 32508 California

Profile Details

NPI number 1174680805
LBN Legal business name Allen, Dian R
Credentials PH.D., LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Sep 2nd, 2023 - about last year

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 1174680805 NPPES
California Other 286 MEDI-CAL STAFF BILLING #

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