Healthcare Provider Details

I. General information

NPI: 1376504514
Provider Name (Legal Business Name): CARLIN A ALLEYNE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 10/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9105 FRANKLIN SQUARE DR SUITES 102/104
BALTIMORE MD
21237-3930
US

IV. Provider business mailing address

9105 FRANKLIN SQUARE DR SUITES 102/104
BALTIMORE MD
21237-3930
US

V. Phone/Fax

Practice location:
  • Phone: 443-777-7878
  • Fax:
Mailing address:
  • Phone: 443-777-7878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberD0057758
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: