NPI 1083803456 · live from the CMS NPI Registry
John P Allen
Psychologist, Clinical in Vienna, VA. National Provider Identifier 1083803456, active.
NPI record
| NPI | 1083803456 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 2009 Carriage Ct, Vienna, VA 22181 |
| Practice phone | 703-281-0760 |
| Mailing address | 2009 Carriage Court, Vienna, VA 22181 |
| Enumerated | October 22, 2007 |
| Last updated | October 22, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 1223 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.