Julie Ann Allender, ED.D.

Individual provider Active NPI Clinical Psychologist · Pueblo, CO

NPI 1609899160 · NPPES record last updated Jan 5, 2021

Key facts

NPI
1609899160
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
PSY0005420 (CO)
Practice address
34 Macnaughton Rd
Pueblo, CO 81001-1731
Phone
(719) 544-0018
Fax
(719) 544-0018
NPI assigned
Jul 25, 2006
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

LicenseStateTypeSpecialty
2971MAMDPsychologist
PSY0005420COMDClinical Psychologist
PS003371LPAMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS003371L PA
Clinical Psychologist 103TC0700X 2971 MA
Clinical Psychologist 103TC0700X PSY0005420 CO Yes

Addresses

Primary practice location

34 Macnaughton Rd
Pueblo, CO 81001-1731

Mailing address

34 Macnaughton Rd
Pueblo, CO 81001-1731
Phone (719) 544-0018

Other practice location 1

306 Rickert Rd
Sellersville, PA 18960-3414
Phone (215) 799-2220

Other identifiers

IdentifierTypeStateIssuer
0001808014OtherPAINDEPENDENCE BLUE CROSS
AL1808014OtherPAHIGHMARKASSIGNMENT NUMBER
0039994000OtherPAINDEPENDENCE BLUE CROSS
436073OtherPAHIGHMARK BLUE SHIELD

Other providers in Pueblo, CO

All providers in Pueblo, CO · Clinical Psychologist in Colorado

Sources for this page

Verify at the official NPI Registry.