Healthcare Provider Details

I. General information

NPI: 1881664720
Provider Name (Legal Business Name): HAROLD DAVIES ALLEMAN PH D
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 N FOUNTAIN BLVD
SPRINGFIELD OH
45504-1422
US

IV. Provider business mailing address

1345 N FOUNTAIN BLVD
SPRINGFIELD OH
45504-1422
US

V. Phone/Fax

Practice location:
  • Phone: 937-390-7973
  • Fax: 937-324-1820
Mailing address:
  • Phone: 937-390-7973
  • Fax: 937-324-1820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number2453
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: