Allen, Jacqueline S

Allen, Jacqueline S is an individual health care provider with primary practice located at 4881 Sugar Maple Dr , Wpafb OH 45433-5529. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Allen, Jacqueline S can be contacted via phone (937) 257-6877.

Contact Information

Primary practice address
4881 Sugar Maple Dr Wpafb OH 45433-5529
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 7027 Ohio

Profile Details

NPI number 1619315736
LBN Legal business name Allen, Jacqueline S
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2013
Last updated Jul 21st, 2014 - about 11 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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