DR. DYLAN ALEXANDER CORP (NPI# 1124635891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124635891 |
| Entity Type | Individual |
| Full Name | DR. DYLAN ALEXANDER CORP |
| Credential | PHD |
| Practice Address |
303 Farmstead Ln Apt 16 State College PA 16803-2519 |
| Practice Telephone | 8148263834 |
| Mailing Telephone | 8148263834 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PS019120 | PA | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PS019120 | PA | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
PS019120 | PA | Behavioral Health & Social Service Providers |
| Street Address |
303 FARMSTEAD LN APT 16 |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16803-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851581 | Tammy Lynn Terosky | Massage Therapist | 2134 Sandy Drive, Suite 6, State College, PA 16803 | 2020-08-12 |
| 1548748973 | Molly Gomez | Occupational Therapist | 260 Lions Hill Road, State College, PA 16803 | 2018-07-28 |
| 1568981827 | David Scott Kautz | Pharmacist | 1665 North Atherton Place, State College, PA 16803 | 2017-09-18 |
| 1245751023 | Zenovia Tarmohamed | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 | 2017-06-30 |
| 1407205362 | Alka Sood | Student in an Organized Health Care Education/Training Program | 1850 E. Park Avenue, State College, PA 16803 | 2016-06-10 |
| 1588018766 | Daniel Frankel | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, State College, PA 16803 | 2016-04-14 |
| 1154791903 | Megan Widener | Physician Assistant | 2520 Green Tech Dr., Ste. D, State College, PA 16803 | 2015-10-05 |
| 1114301330 | Phuong Tran Courtney | Physician Assistant | 1613 North Atherton Street, Suite B, State College, PA 16803 | 2015-07-17 |
| 1164806840 | Amit Thatte | Student in an Organized Health Care Education/Training Program | 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 | 2015-07-13 |
| 1245588946 | Phoenix Rehabilitation and Health Services, Inc. | Chiropractor | 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 | 2012-08-28 |
| Find all providers in zip 16803 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285066241 | Marie Land | Psychologist | 3181 Shellers Bnd, Apt. 20, State College, PA 16801-2795 | 2013-08-01 |
| 1225306681 | Nancy Farber | Psychologist | 114a Logan Ave, State College, PA 16801-6006 | 2011-12-13 |
| 1508075425 | Kurt M Gehlert | Psychologist | 925 W College Ave, State College, PA 16801-2804 | 2007-05-21 |
| 1962529503 | Leann Terry Diederich | Psychologist | 2017 Cato Ave, Suite 101, State College, PA 16801-2765 | 2007-03-26 |
| 1699821330 | Sarah C. Baker | Psychologist | 141 E. Fairmount Ave., State College, PA 16801 | 2007-01-26 |
| 1588275622 | Erica Wiley | Psychologist | 229 W Foster Ave, State College, PA 16801-4823 | 2020-08-12 |
| 1053760967 | Desiree S Howell | Psychologist | 119 S Burrowes St, Ste 706, State College, PA 16801-3894 | 2016-06-10 |
| 1588057509 | Jessica Crysten Effrig | Psychologist | 301 S Allen St, Suite 103a, State College, PA 16801-4847 | 2015-03-16 |
| 1467703033 | Marvin D'andre Wilson | Psychologist | 119 S Burrowes St, Suite 607, State College, PA 16801-3863 | 2012-09-24 |
| 1639470602 | Maria A Vinca | Psychologist | 320 Rolling Ridge Dr, Suite 100, State College, PA 16801-7641 | 2010-11-08 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16803 |
Please comment or provide details below to improve the information on DR. DYLAN ALEXANDER CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.