Healthcare Provider Details

I. General information

NPI: 1528942356
Provider Name (Legal Business Name): AR'YANA ALLEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22001 FAIRMOUNT BLVD
SHAKER HEIGHTS OH
44118-4819
US

IV. Provider business mailing address

256 WINDSOR DR
ELYRIA OH
44035-1749
US

V. Phone/Fax

Practice location:
  • Phone: 216-320-8695
  • Fax:
Mailing address:
  • Phone: 440-420-3527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberS.2504358
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberAPS.005253
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: