Provider Demographics
NPI:1346068962
Name:ALLAN, DEVIN (MS)
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:
Last Name:ALLAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 E NORTH ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:WA
Mailing Address - Zip Code:98584-9447
Mailing Address - Country:US
Mailing Address - Phone:657-408-8555
Mailing Address - Fax:
Practice Address - Street 1:30 E NORTH ISLAND DR
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:WA
Practice Address - Zip Code:98584-9447
Practice Address - Country:US
Practice Address - Phone:657-408-8555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health