Provider Demographics
NPI:1992571590
Name:PINDER, ALLEN
Entity type:Individual
Prefix:
First Name:ALLEN
Middle Name:
Last Name:PINDER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ALLEN
Other - Middle Name:
Other - Last Name:PINDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5736 PINE ST W APT A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229
Mailing Address - Country:US
Mailing Address - Phone:614-906-8682
Mailing Address - Fax:
Practice Address - Street 1:5736 PINE ST W APT A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229
Practice Address - Country:US
Practice Address - Phone:614-906-8682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty