Healthcare Provider Details

I. General information

NPI: 1417692658
Provider Name (Legal Business Name): ALLYSON DENGLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2022
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10435 DOWNSVILLE PIKE
HAGERSTOWN MD
21740-1732
US

IV. Provider business mailing address

55 GUNNISON DR
HEDGESVILLE WV
25427-7809
US

V. Phone/Fax

Practice location:
  • Phone: 301-766-2800
  • Fax:
Mailing address:
  • Phone: 304-270-7377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: