Doctor Name: | MS. FRANCES ANN ALLEN-HENDERSON |
NPI Number: | 1720266612 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LSW, LPC, ALPS |
License Number: | 921 |
Business Practice Address: | 1197 Saxon Rd. Fairdale, WV - 258390345 |
Business Phone Number: | 3049345950 |
Business Fax Number: | 3049345961 |
Mailing Address: | Po Box 345, FAIRDALE |
State: | WV |
Postal Code: | 258390345 |
Phone Number: | 3049345950 |
Fax Number: | 3049345961 |
NPI Enumeration Date: | 02/04/2008 |
NPI Last Update Date: | 02/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 921 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |