| Doctor Name: | BEVERLY L ALLEN |
| NPI Number: | 1578583126 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | 002718 |
| Business Practice Address: | 645a N Main St Danielson, CT - 062392108 |
| Business Phone Number: | 8607792122 |
| Business Fax Number: | 8607792123 |
| Mailing Address: | 27 Patriots Sq, MANSFIELD CENTER |
| State: | CT |
| Postal Code: | 062501517 |
| Phone Number: | 8604561770 |
| Fax Number: | 8607792122 |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 002718 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |