Marla Beth Allen
Psychologist, School in Baldwinsville, NY. Individual provider (NPI-1).
NPI number1942839733
StatusActive
Last updated in NPPESAug 30, 2022
Details
- NPI
- 1942839733
- Entity type
- Individual (NPI-1)
- Name
- Marla Beth Allen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2020
- Certification date
- Aug 22, 2022
- Last updated
- Aug 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | 2898866 | NY | Yes |
| 103TS0200X | Psychologist, School | 180147571 | CA | |
| 103TS0200X | Psychologist, School | 7324878156 | KS |
Practice location
8282 Willett PkwyBaldwinsville, NY 13027-1306
Phone 315-857-0800
Mailing address
416 Mosley DrSyracuse, NY 13206-3113
Phone 785-821-6024
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