MR. LARRY TODD ALLEN L.P.C. NPI 1053376467

NPI Information

NPI: 1053376467
Provider Name: MR. LARRY TODD ALLEN, L.P.C.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2725 N WESTWOOD BLVD
SUITE 5A
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 785-0333
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MR. Larry Todd Allen, L.P.C. is a professional counselor in Poplar Bluff, MO. MR. Larry Todd Allen, L.P.C. NPI is 1053376467. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2725 N WESTWOOD BLVD
SUITE 5A
POPLAR BLUFF, MO
ZIP 63901-346
Phone: (573) 785-0333
Fax: (573) 785-0333

The enumeration date for this NPI number is 4/19/2006 and was last updated on 5/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	002436	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1053376467	MEDICAID	MISSOURI
2	1053376467	OTHER	MISSOURI	HEALTHLINK, INC
3	000000443672	OTHER	MISSOURI	ANTHEM BLUE CROSS BLUE SHIELD
4	1053376467	OTHER	MISSOURI	UNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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