Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 255 | KS |
Y | 103G00000X | Clinical Psychologist | 255 | KS |
Y | 103TC0700X | Clinical Psychologist | 255 | KS |
NPI | 1134212897 |
---|---|
Provider Name | Julie W Allen |
First Address | Hutchinson, KS 67501-5600 |
Second Address | Hutchinson, KS 67501-5600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 27/07/2021 |