Provider Demographics
NPI:1992824411
Name:DAVIS-ALLEN, .CHRISSY LEE (ND)
Entity Type:Individual
Prefix:MS
First Name:.CHRISSY
Middle Name:LEE
Last Name:DAVIS-ALLEN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 N MADISON RD
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-1782
Mailing Address - Country:US
Mailing Address - Phone:203-453-1550
Mailing Address - Fax:
Practice Address - Street 1:598 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-5342
Practice Address - Country:US
Practice Address - Phone:860-889-1475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000256175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath