Elizabeth Jo Allin, LLP
Individual provider Active NPI Clinical Psychologist · Niagara, WI
NPI 1477595270 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477595270
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6301008714 (MI)
- Practice address
- 1201 Jackson St
Niagara, WI 54151-1233 - Phone
- (715) 251-4555
- Fax
- (715) 251-1754
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 6301008714 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Marinette | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301008714 | MI | Yes |
Addresses
Primary practice location
1201 Jackson St
Niagara, WI 54151-1233
Mailing address
1201 Jackson St
Niagara, WI 54151-1233
Phone (715) 251-4555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 982471009899 | Other | PREFERRED ONE |
Other providers in Niagara, WI
- Lanny Ann Brown
- Cassandra Lynn Callahan
- Alisha Marie Danoff
- Dickinson County Healthcare System
- Gilbert Corbin Engel
All providers in Niagara, WI · Clinical Psychologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 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.