Provider Demographics
NPI:1528228178
Name:SHEEN, ALLISON KATHERINE (MA)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:KATHERINE
Last Name:SHEEN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2244 FARADAY AVE STE 112
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-7208
Mailing Address - Country:US
Mailing Address - Phone:310-487-0956
Mailing Address - Fax:
Practice Address - Street 1:2244 FARADAY AVE STE 112
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-7208
Practice Address - Country:US
Practice Address - Phone:310-487-0956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2022-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC40095106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist