Provider Demographics
NPI:1629799705
Name:KEENA N. ALLEN, PSY.D.
Entity Type:Organization
Organization Name:KEENA N. ALLEN, PSY.D.
Other - Org Name:ALLIED BEHAVIORAL HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/LICENSED CLINICAL PSYCHOLOGIS
Authorized Official - Prefix:DR
Authorized Official - First Name:KEENA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:781-747-8497
Mailing Address - Street 1:1500 BOSTON PROVIDENCE TPKE STE 38
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-4631
Mailing Address - Country:US
Mailing Address - Phone:781-747-8497
Mailing Address - Fax:
Practice Address - Street 1:1500 BOSTON PROVIDENCE TPKE STE 38
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4631
Practice Address - Country:US
Practice Address - Phone:781-747-8497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty