Provider Demographics
NPI:1790020956
Name:ALLEN, JOI D
Entity Type:Individual
Prefix:MS
First Name:JOI
Middle Name:D
Last Name:ALLEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 AUDUBON RD
Mailing Address - Street 2:APT. 407
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188-4401
Mailing Address - Country:US
Mailing Address - Phone:781-337-3085
Mailing Address - Fax:
Practice Address - Street 1:56 AUDUBON RD
Practice Address - Street 2:APT. 407
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02188-4401
Practice Address - Country:US
Practice Address - Phone:781-337-3085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health