Provider Demographics
NPI:1447372651
Name:ALLEN, CHARLISA F (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLISA
Middle Name:F
Last Name:ALLEN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:8485 E MCDONALD DR
Mailing Address - Street 2:SUITE 322
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-6335
Mailing Address - Country:US
Mailing Address - Phone:480-483-6276
Mailing Address - Fax:480-368-7145
Practice Address - Street 1:8485 E MCDONALD DR
Practice Address - Street 2:SUITE 322
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-6335
Practice Address - Country:US
Practice Address - Phone:480-483-6276
Practice Address - Fax:480-368-7145
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AZ33615142084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine