George William Allison, PH.D.
Individual provider Active NPI Clinical Psychologist · Sun City, AZ
NPI 1669423109 · NPPES record last updated Oct 3, 2007
Key facts
- NPI
- 1669423109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1216 (AZ)
- Practice address
- 12630 N 103Rd Ave
Suite 241
Sun City, AZ 85351-3423 - Phone
- (623) 876-8806
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1216 | AZ | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1216 | AZ | Yes |
Addresses
Primary practice location
12630 N 103Rd Ave
Suite 241
Sun City, AZ 85351-3423
Mailing address
12630 N 103Rd Ave
Suite 241
Sun City, AZ 85351-3423
Phone (623) 876-8806
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All providers in Sun City, AZ · Clinical Psychologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 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.