Provider Demographics
NPI:1801072475
Name:ALLEN, GRETCHEN C (MS)
Entity type:Individual
Prefix:MRS
First Name:GRETCHEN
Middle Name:C
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 LAKEVIEW PKWY
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-4247
Mailing Address - Country:US
Mailing Address - Phone:972-475-9151
Mailing Address - Fax:972-475-1757
Practice Address - Street 1:7801 LAKEVIEW PKWY
Practice Address - Street 2:SUITE 120
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-4247
Practice Address - Country:US
Practice Address - Phone:972-475-9151
Practice Address - Fax:972-475-1757
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51101231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist