Provider Demographics
NPI:1124118450
Name:RYEN, ALLEN H (PHD)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:H
Last Name:RYEN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 KNARR ST
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-1918
Mailing Address - Country:US
Mailing Address - Phone:814-371-5727
Mailing Address - Fax:
Practice Address - Street 1:416 KNARR ST
Practice Address - Street 2:
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-1918
Practice Address - Country:US
Practice Address - Phone:814-371-5727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-002757-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist