MEDICARE: DORIS ALLEN

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
1	101Y00000X	Counselor	LCA2042	MD

General Provider Information

NPI Number	:	1699183335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORIS ALLEN

Provider Business Mailing Address
First Line	:	1417 MOUNT AIRY RD
Second Line	:
City	:	ROSEDALE
State	:	MD
Zip	:	21237-1846
Country	:	US
Telephone Number	:	443-922-8928
Fax Number	:

Provider Business Practice Location Address
First Line	:	9505 REISTERSTOWN RD STE 2NE
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4451
Country	:	US
Telephone Number	:	443-922-8928
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2014
Last Update Date	:	10/21/2024

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Directions to “ DORIS ALLEN ” Practice Location

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