Provider Demographics
NPI:1437343753
Name:RICHARD ALLOY, PH.D.
Entity Type:Organization
Organization Name:RICHARD ALLOY, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST / NEUROPSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLOY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:831-688-5010
Mailing Address - Street 1:9099 SOQUEL DR
Mailing Address - Street 2:SUITE 12
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-4033
Mailing Address - Country:US
Mailing Address - Phone:831-688-5010
Mailing Address - Fax:831-688-3676
Practice Address - Street 1:9099 SOQUEL DR
Practice Address - Street 2:SUITE 12
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-4033
Practice Address - Country:US
Practice Address - Phone:831-688-5010
Practice Address - Fax:831-688-3676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7159103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAR27664Medicare UPIN
CA00PL71592Medicare PIN