| Doctor Name: | DR. ROBERT SHEPHERD ALLEN |
| NPI Number: | 1588944706 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 4 |
| Business Practice Address: | 801 11th Ave N North Myrtle Beach, SC - 295822644 |
| Business Phone Number: | 8439026943 |
| Business Fax Number: | |
| Mailing Address: | 1794 Spinnaker Dr, NORTH MYRTLE BEACH |
| State: | SC |
| Postal Code: | 295826828 |
| Phone Number: | 8439026943 |
| Fax Number: | |
| NPI Enumeration Date: | 08/18/2011 |
| NPI Last Update Date: | 08/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |