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Individual

DR. DYLAN ALEXANDER CORP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
474 WINDMERE DR STE 301, STATE COLLEGE, PA 16801-7651
(814) 826-3834
(814) 325-7331
Mailing address
474 WINDMERE DR STE 301, STATE COLLEGE, PA 16801-7651
(814) 826-3834
(814) 325-7331

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS019120
PA
103TC1900X
Counseling Psychologist
Primary
PS019120
PA
103TP2701X
Group Psychotherapy Psychologist
PS019120
PA

Other

Enumeration date
09/28/2020
Last updated
07/27/2021
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