Provider Demographics
NPI:1790984102
Name:ALLEN, KATHERINE ANN (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:ANN
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:ALLEN
Other - Last Name:MCNALLY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:45 LYME RD STE 310A
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755-1260
Mailing Address - Country:US
Mailing Address - Phone:833-427-7528
Mailing Address - Fax:
Practice Address - Street 1:45 LYME RD STE 310A
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-1260
Practice Address - Country:US
Practice Address - Phone:833-427-7528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001349106H00000X
VT100.0133995106H00000X
NH195106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist