Doctor Name: | DR. RACHEL JANE ALLYN |
NPI Number: | 1013970250 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 60174772504 |
Business Practice Address: | 4200 Minnetonka Blvd St Louis Park, MN - 554165191 |
Business Phone Number: | 8016613524 |
Business Fax Number: | |
Mailing Address: | 4200 Minnetonka Blvd, ST LOUIS PARK |
State: | MN |
Postal Code: | 554165191 |
Phone Number: | 8016613524 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 01/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 60174772504 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |