| Doctor Name: | ALLISON O'HARA |
| NPI Number: | 1134498009 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 801758-1-MHC |
| Business Practice Address: | 900 5th St Ste 305 International Falls, MN - 566492200 |
| Business Phone Number: | 2182833406 |
| Business Fax Number: | |
| Mailing Address: | 215 Se 2nd Ave, GRAND RAPIDS |
| State: | MN |
| Postal Code: | 557443615 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/22/2011 |
| NPI Last Update Date: | 12/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 801758-1-MHC |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |