Healthcare Provider Details

I. General information

NPI: 1548550858
Provider Name (Legal Business Name): ALLEN MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2011
Last Update Date: 04/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 GARRISON BLVD SUITE 200
BALTIMORE MD
21216-2335
US

IV. Provider business mailing address

3115 LORENZO LN
WOODBINE MD
21797-7501
US

V. Phone/Fax

Practice location:
  • Phone: 410-233-3140
  • Fax: 410-233-3222
Mailing address:
  • Phone: 410-299-8969
  • Fax: 410-489-2361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0056748
License Number StateMD

VIII. Authorized Official

Name: DR. RHONDA LYNN ALLEN
Title or Position: OWNER
Credential: M.D.
Phone: 410-299-8969