| Dr Kenneth Edward Allen, PHD | |
|
828 S Bascom Ave, San Jose, CA 95128-2651 | |
| (408) 793-5959 | |
| Not Available |
| Full Name | Dr Kenneth Edward Allen |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 828 S Bascom Ave, San Jose, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427362714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY28570 (California) | Primary |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588721500 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Other Medical Care Group |
| Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Edward Allen, PHD 3570 Jarvis Ave, San Jose, CA 95118-1333 Ph: (818) 621-5413 | Dr Kenneth Edward Allen, PHD 828 S Bascom Ave, San Jose, CA 95128-2651 Ph: (408) 793-5959 |
Dr. Rethel E. Gill, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1927 Otoole Way, San Jose, CA 95131 Phone: 707-861-8276 | |
Marie Roman-clifton, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Psychology Services-pm&r, San Jose, CA 95128 Phone: 408-885-4445 | |
Dr. Jennifer Gregg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Dept Of Psychology, One Washington Square, San Jose, CA 95192 Phone: 650-743-7230 | |
Ms. Nicole Alvarez Bautista, BA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Moorpark Ave, San Jose, CA 95128 Phone: 408-975-2730 | |
Maritza Aguilar, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3235 Union Ave, San Jose, CA 95124 Phone: 408-626-3405 | |
Mr. Donald B Dufford, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3880 S Bascom Ave, Suite 212, San Jose, CA 95124 Phone: 408-559-9088 Fax: 408-377-7833 | |
Dr. Sepideh Afrakhteh Katz, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3500 Zanker Road, San Jose, CA 95134 Phone: 408-451-6198 |