Lataja Danielle Allen, ED.S.

Individual provider Active NPI School Psychologist · Broadlands, VA

NPI 1295425148 · NPPES record last updated May 12, 2023

Key facts

NPI
1295425148
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
Practice address
21000 Education CT
Broadlands, VA 20148-5526
Phone
(571) 252-1013
NPI assigned
May 12, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun County Public Schools Past
since May 14, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X Yes

Addresses

Primary practice location

21000 Education CT
Broadlands, VA 20148-5526

Mailing address

21000 Education CT
Broadlands, VA 20148-5526
Phone (571) 252-1013

Other providers in Broadlands, VA

All providers in Broadlands, VA · School Psychologist in Virginia

Sources for this page

Verify at the official NPI Registry.