| Dan H Allen Phd Pa | |
|
315 W Pine St Florence SC 29501-4726 | |
| (843) 669-9515 | |
| (843) 669-9514 |
| Full Name | Dan H Allen Phd Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 315 W Pine St, Florence, South Carolina |
| Authorized Official Name and Position | Dan Harrison Allen (OWNER) |
| Authorized Official Contact | 8436699515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dan H Allen Phd Pa Po Box 12518 Florence SC 29504-2518 Ph: (843) 669-9515 | Dan H Allen Phd Pa 315 W Pine St Florence SC 29501-4726 Ph: (843) 669-9515 |
| NPI Number | 1174660062 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 10/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174660062 | NPI | - | NPPES |
| PSO160 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 535 (South Carolina) | Primary |
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