Wellformed AI

NPI 1588944706 · live from the CMS NPI Registry

Robert Shepherd Allen, Ph.D.

Counselor, Professional in North Myrtle Beach, SC. National Provider Identifier 1588944706, active.

NPI record

NPI1588944706 Type 1 · individual
StatusActive
Primary specialtyCounselor, Professional 101YP2500X
Practice location801 11th Ave N, North Myrtle Beach, SC 29582
Practice phone843-902-6943
Mailing address1794 Spinnaker Dr, North Myrtle Beach, SC 29582
EnumeratedAugust 18, 2011
Last updatedAugust 18, 2011
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Professional primary101YP2500X4 (SC)

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