Wellformed AI

NPI 1104505700 · live from the CMS NPI Registry

Maggie O Allen, PhD

Psychologist, Clinical in Providence, RI. National Provider Identifier 1104505700, active.

NPI record

NPI1104505700 Type 1 · individual
StatusActive
Primary specialtyPsychologist, Clinical 103TC0700X
Practice location2 Dudley St, Providence, RI 02905
Practice phone401-453-7955
Mailing address455 Toll Gate Road, Prc And Credentialing, Warwick, RI 02886
EnumeratedJuly 12, 2023
Last updatedApril 21, 2026
Sole proprietorNo
Other namesMaggie O'Reilly Treter

Taxonomies and licenses

TaxonomyCodeLicense
Psychologist, Clinical primary103TC0700XPS02206 (RI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.