Provider Demographics
NPI:1003470386
Name:ALLGOOD, JANE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:
Last Name:ALLGOOD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:917 WILLOWBROOK DR SE
Mailing Address - Street 2:STE C
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-3263
Mailing Address - Country:US
Mailing Address - Phone:850-524-3469
Mailing Address - Fax:
Practice Address - Street 1:917 WILLOWBROOK DR SE STE C
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-3263
Practice Address - Country:US
Practice Address - Phone:256-850-4091
Practice Address - Fax:256-970-1643
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-23
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4725G1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical