Individual
MS. DENISE CHERYL PERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
925 WEST COLLEGE AVENUE, STATE COLLEGE, PA 16801-2804
(814) 235-5464
Mailing address
925 WEST COLLEGE AVENUE, STATE COLLEGE, PA 16801-2804
(814) 235-5464
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PAPS015264
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017330800001
—
PA
Enumeration date
12/26/2006
Last updated
07/08/2007
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