Provider Demographics
NPI:1598950040
Name:ALLEN, DOUGLAS GREGORY (PHD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:GREGORY
Last Name:ALLEN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:GREG
Other - Middle Name:
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:711 W 38TH ST STE F2
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1133
Mailing Address - Country:US
Mailing Address - Phone:512-637-5841
Mailing Address - Fax:512-637-5997
Practice Address - Street 1:711 W 38TH ST STE F2
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1133
Practice Address - Country:US
Practice Address - Phone:512-637-5841
Practice Address - Fax:512-637-5997
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33416103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist