Doctor Name: | MARGUERITE ALLEN |
NPI Number: | 1073819397 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 208 N Main St Sand Springs, OK - 740637603 |
Business Phone Number: | 9185144029 |
Business Fax Number: | |
Mailing Address: | 4350 W Sunburst St, SAND SPRINGS |
State: | OK |
Postal Code: | 740632257 |
Phone Number: | 9185144547 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2011 |
NPI Last Update Date: | 02/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |