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NPI Code Detail

MEDICARE: KRISTIN BROOKE ALLEN M.S.

MEDICARE: KRISTIN BROOKE ALLEN M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist0589KY
2101YM0800XMental Health CounselorMH19191FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396865242
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN BROOKE ALLEN M.S.
Provider Business Mailing Address
First Line : 3526 TRILLIUM CT
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32312-1717
Country : US
Telephone Number : 859-312-4195
Fax Number :
Provider Business Practice Location Address
First Line : 3526 TRILLIUM CT
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32312-1717
Country : US
Telephone Number : 859-312-4195
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2007
Last Update Date : 11/21/2022

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