Provider Demographics
NPI:1952145963
Name:JEANA-MARIE ALLAN, PSY.D., PLLC
Entity type:Organization
Organization Name:JEANA-MARIE ALLAN, PSY.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANA-MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:626-653-6846
Mailing Address - Street 1:7 SWEETBRIAR LN
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01602-3144
Mailing Address - Country:US
Mailing Address - Phone:626-653-6846
Mailing Address - Fax:
Practice Address - Street 1:7 SWEETBRIAR LN
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01602-3144
Practice Address - Country:US
Practice Address - Phone:626-653-6846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty