Provider Demographics
NPI:1578881124
Name:ALLEN, CHRISTOPHER DEVON (PHD, LPC, LADC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:DEVON
Last Name:ALLEN
Suffix:
Gender:M
Credentials:PHD, LPC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 NE 8TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117-2202
Mailing Address - Country:US
Mailing Address - Phone:405-436-1506
Mailing Address - Fax:405-948-4933
Practice Address - Street 1:2201 WESTPARK DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-4012
Practice Address - Country:US
Practice Address - Phone:405-579-4111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-06
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1150101YA0400X
OK5228101YP2500X
OK1329103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200485210Medicaid