Individual
MR. DANIEL F KYSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 CHURCH ST, PORT ALLEGANY, PA 16743-1116
(814) 642-7772
(814) 642-2320
Mailing address
10 CHURCH ST, PORT ALLEGANY, PA 16743-1116
(814) 642-7772
(814) 642-2320
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS007853L
PA
103TS0200X
School Psychologist
—
PA
1041C0700X
Clinical Social Worker
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015565270004
—
PA
01
—
2077161
CIGNA
PA
01
—
513957
BCBS
PA
Enumeration date
07/03/2006
Last updated
09/11/2025
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