NPI 1063747764 · live from the CMS NPI Registry
Richard G Allen, PsyD, BCBA-D, NCSP
Psychologist, Clinical in Wilmington, DE. National Provider Identifier 1063747764, active.
NPI record
| NPI | 1063747764 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 510 Philadelphia Pike, Wilmington, DE 19809 |
| Practice phone | 877-834-9302 |
| Mailing address | 35 Kings Ct, Swedesboro, NJ 08085 |
| Enumerated | October 14, 2009 |
| Last updated | May 24, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 1-06-3160 (PA) |
| Psychologist, Clinical | 103TC0700X | B1-0001038 (DE) |
| Psychologist, Clinical | 103TC0700X | 35100664700 (NJ) |
| Psychologist, Clinical primary | 103TC0700X | PS017761 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.