Healthcare Provider Details

I. General information

NPI: 1871402917
Provider Name (Legal Business Name): EMILY-JANE CAROLYN ALLEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 PALOMAR AIRPORT RD STE 200
CARLSBAD CA
92011-1042
US

IV. Provider business mailing address

769 BREEZE HILL RD APT 1025
VISTA CA
92081-4348
US

V. Phone/Fax

Practice location:
  • Phone: 408-598-0226
  • Fax:
Mailing address:
  • Phone: 408-598-0226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: