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Individual

DR. ALYCIA A CHAMBERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
229 W FOSTER AVE, STATE COLLEGE, PA 16801-4823
(814) 238-1880
(814) 867-2794
Mailing address
229 W FOSTER AVE, STATE COLLEGE, PA 16801-4823
(814) 238-1880
(814) 867-2794

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS 005006 L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001560056
PA
01
01120501
CAPITAL BLUE CROSS
PA
01
113755
VALUE OPTIONS AND TRICARE
PA
Enumeration date
03/14/2006
Last updated
07/09/2010
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