MEDICARE: ALLISON BROWNE SINCLAIR M.ED., LMFT, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	7083	TX
2	106H00000X	Marriage & Family Therapist	002892-040329	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7415208	OTHER		MAMSI LIFE & HEALTH
2	233229	OTHER		VALUE OPTIONS
3	2770LC	OTHER	TX	BCBS TX

General Provider Information

NPI Number	:	1083727812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON BROWNE SINCLAIR M.ED., LMFT, LPC

Provider Business Mailing Address
First Line	:	2606 STATE ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-2600
Country	:	US
Telephone Number	:	214-528-2032
Fax Number	:	214-327-2487

Provider Business Practice Location Address
First Line	:	2606 STATE ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-2600
Country	:	US
Telephone Number	:	214-528-2032
Fax Number	:	214-327-2487

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	01/19/2010

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