NPI 1356470108 · live from the CMS NPI Registry
Glenda Lee Allen, MA MFT LADC
Psychologist, Addiction (Substance Use Disorder) in Sparks, NV. National Provider Identifier 1356470108, active.
NPI record
| NPI | 1356470108 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Addiction (Substance Use Disorder) 103TA0400X |
| Practice location | 835 Rock Blvd, Sparks, NV 89431 |
| Practice phone | 775-355-7722 |
| Enumerated | March 5, 2007 |
| Last updated | September 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Addiction (Substance Use Disorder) primary | 103TA0400X | 420L (NV) |
| Marriage & Family Therapist | 106H00000X | 369 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.