Provider Demographics
NPI:1639317068
Name:ALLAN, COREY DAVID (PHD)
Entity Type:Individual
Prefix:DR
First Name:COREY
Middle Name:DAVID
Last Name:ALLAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6951 VIRGINIA PKWY
Mailing Address - Street 2:SUITE 320
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5713
Mailing Address - Country:US
Mailing Address - Phone:214-629-6133
Mailing Address - Fax:
Practice Address - Street 1:6951 VIRGINIA PKWY
Practice Address - Street 2:SUITE 320
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5713
Practice Address - Country:US
Practice Address - Phone:214-629-6133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-22
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18693101YP2500X
TX200944106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional