Allen, Jeanne Ellen

Allen, Jeanne Ellen is an sole proprietor health care provider with primary practice located at 110 Mordington Avenue Jefferson County Board Of Education, Charlestown WV 25414. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Allen, Jeanne Ellen can be contacted via phone (304) 725-9741.

Contact Information

Primary practice address
110 Mordington Avenue Jefferson County Board Of Education Charlestown WV 25414
Phone: (304) 725-9741
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 10013 West Virginia

Profile Details

NPI number 1598935298
LBN Legal business name Allen, Jeanne Ellen
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2008
Last updated Mar 10th, 2008 - about 17 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 1598935298 NPPES
West Virginia MEDICAID 0165627000

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