Breon Allen, LPA
Individual provider Active NPI Psychologist · Biscoe, NC
NPI 1194924977 · NPPES record last updated Jul 12, 2007
Key facts
- NPI
- 1194924977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 1474 (NC)
- Practice address
- 230 Wright Rd.
Biscoe, NC 27209-0736 - Phone
- (910) 571-2525
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1474 | NC | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1474 | NC | Yes |
Addresses
Primary practice location
230 Wright Rd.
Biscoe, NC 27209-0736
Mailing address
PO Box 736
Biscoe, NC 27209-0736
Phone (910) 571-2525
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6107034 | Medicaid | NC |
Other providers in Biscoe, NC
- Academy Eye Center Optometry, PA
- Lucarys Albares
- Jolena B Allred
- Alexis R Anthony
- Autumn Care of Biscoe, LLC
- Autumn Corporation
- Autumn Corporation
All providers in Biscoe, NC · Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.