Individual provider · NPI-1

Dr. Richard G Allen, PsyD, BCBA-D, NCSP

Psychologist, Clinical · Wilmington, DE

NPI number1063747764
StatusActive
Last updated in NPPESMay 24, 2022

Details

NPI
1063747764
Entity type
Individual (NPI-1)
Name
Dr. Richard G Allen
Credential
PsyD, BCBA-D, NCSP
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 14, 2009
Certification date
May 24, 2022
Last updated
May 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPS017761PAYes
103K00000X Behavior Analyst1-06-3160PA
103TC0700X Psychologist, ClinicalB1-0001038DE
103TC0700X Psychologist, Clinical35100664700NJ

Practice location

510 Philadelphia Pike
Wilmington, DE 19809-2100

Phone 877-834-9302

Mailing address

35 Kings Ct
Swedesboro, NJ 08085-5033

Phone 856-264-6099

Other practice locations

545 Beckett Rd
Swedesboro, NJ 08085-1547

Phone 856-502-1606

35 Kings Ct
Swedesboro, NJ 08085-5033

Phone 856-264-6099

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