Olivia Ray Allen, PSY.D.
Individual provider Active NPI Clinical Psychologist · Bedford, MA
NPI 1457024655 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1457024655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY5000228 (MA)
- Practice address
- 200 Springs Rd
Bedford, MA 01730-1114 - Phone
- (774) 258-1690
- NPI assigned
- Jul 26, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| PSY5000228 | MA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY5000228 | MA | Yes |
Addresses
Primary practice location
200 Springs Rd
Bedford, MA 01730-1114
Mailing address
44 Newton St
Northborough, MA 01532-1115
Phone (774) 258-1690
Other providers in Bedford, MA
- Riley Eileen Ahern
- Margarette Alcime
- Alere Care LLC Dba Amada Senior Care Lexington Ma
- William Harvey Alexander
- Douglas Allen
- Kerri Arlene Alley
- Emin Nebil Altug
- Husna Altug
- Raghavan Amarasingham
- Victoria E Ameral
All providers in Bedford, MA · Clinical Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. 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.