Provider Demographics
NPI:1205995537
Name:ALLEN, JOSEPH PATRICK (PHD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:PATRICK
Last Name:ALLEN
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:PO BOX 400400
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22904-4400
Mailing Address - Country:US
Mailing Address - Phone:434-982-4727
Mailing Address - Fax:434-982-4766
Practice Address - Street 1:102 GILMER HALL, DEPT. OF PSYCHOLOGY
Practice Address - Street 2:UNIVERSITY OF VIRGINIA
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22904-4400
Practice Address - Country:US
Practice Address - Phone:434-982-4727
Practice Address - Fax:434-982-4766
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0810001692103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical