Provider Demographics
NPI:1306476015
Name:ALLAN, DARCEY MICHELLE (PHD)
Entity type:Individual
Prefix:DR
First Name:DARCEY
Middle Name:MICHELLE
Last Name:ALLAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:DARCEY
Other - Middle Name:MICHELLE
Other - Last Name:SIMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 OHIO UNIVERSITY DEPT OF PSYCHOLOGY
Mailing Address - Street 2:PORTER HALL ROOM 002
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-2942
Mailing Address - Country:US
Mailing Address - Phone:740-593-0902
Mailing Address - Fax:740-593-4790
Practice Address - Street 1:1 OHIO UNIVERSITY DEPT OF PSYCHOLOGY
Practice Address - Street 2:PORTER HALL ROOM 002
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2942
Practice Address - Country:US
Practice Address - Phone:740-593-0902
Practice Address - Fax:740-593-4790
Is Sole Proprietor?:No
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH07998103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical