| Doctor Name: | MRS. BECKY ALLEN |
| NPI Number: | 1003129776 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BA, CASAC-T |
| License Number: | 22573 |
| Business Practice Address: | 804 East 138th Street Room 32 Albert Einsein Wellness Center Bronx, NY - 10454 |
| Business Phone Number: | 7186657500 |
| Business Fax Number: | 7186654768 |
| Mailing Address: | 804 East 138th Street, Room 32 Albert Einsein Wellness Center BRONX |
| State: | NY |
| Postal Code: | 10454 |
| Phone Number: | 7186657500 |
| Fax Number: | 7186654768 |
| NPI Enumeration Date: | 07/22/2010 |
| NPI Last Update Date: | 07/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 22573 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |