NPI 1295425148 · live from the CMS NPI Registry
Lataja Danielle Allen, Ed.S.
Psychologist, School in Broadlands, VA. National Provider Identifier 1295425148, active.
NPI record
| NPI | 1295425148 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, School 103TS0200X |
| Practice location | 21000 Education Ct, Broadlands, VA 20148 |
| Practice phone | 571-252-1013 |
| Enumerated | May 12, 2023 |
| Last updated | May 12, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, School primary | 103TS0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.