Dr. Dylan Alexander Corp, PhD
Psychologist, Counseling in State College, PA. Individual provider (NPI-1).
NPI number1124635891
StatusActive
Last updated in NPPESJul 27, 2021
Details
- NPI
- 1124635891
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dylan Alexander Corp
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2020
- Certification date
- Jul 27, 2021
- Last updated
- Jul 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | PS019120 | PA | Yes |
| 103T00000X | Psychologist | PS019120 | PA | |
| 103TP2701X | Psychologist, Group Psychotherapy | PS019120 | PA |
Practice location
474 Windmere Dr Ste 301State College, PA 16801-7651
Phone 814-826-3834 · Fax 814-325-7331
Mailing address
474 Windmere Dr Ste 301State College, PA 16801-7651
Phone 814-826-3834 · Fax 814-325-7331
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