Doctor Name: | ALLEN TWIGG |
NPI Number: | 1003905282 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | LC0227 |
Business Practice Address: | 251 E Antietam St Hagerstown, MD - 217405724 |
Business Phone Number: | 3017667600 |
Business Fax Number: | 3017667702 |
Mailing Address: | 251 E Antietam St, HAGERSTOWN |
State: | MD |
Postal Code: | 217405724 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC0227 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |