Individual provider · NPI-1

Anna Mary Allard

Psychologist, Clinical Child & Adolescent · Louisville, KY

NPI number1447235429

StatusActive

Last updated in NPPESOct 12, 2020

Details

NPI: 1447235429
Entity type: Individual (NPI-1)
Name: Anna Mary Allard
Sex: Female
Sole proprietor: No
Enumeration date: Dec 13, 2005
Certification date: Oct 12, 2020
Last updated: Oct 12, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103TC2200X	Psychologist, Clinical Child & Adolescent	KY63	KY	Yes
103TB0200X	Psychologist, Cognitive & Behavioral	–	–

Practice location

411 E Chestnut St
Louisville, KY 40202-1713

Phone 502-588-0850 · Fax 502-588-0861

Mailing address

Po Box 776879
Chicago, IL 60677-6879

Phone 502-588-9490 · Fax 502-272-5116

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