Healthcare Provider Details

I. General information

NPI: 1336035187
Provider Name (Legal Business Name): ALEEA DREESE AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 OAKWOOD AVE STE 400
STATE COLLEGE PA
16803-2636
US

IV. Provider business mailing address

200 MIFFLIN ST
HUNTINGDON PA
16652-1436
US

V. Phone/Fax

Practice location:
  • Phone: 814-641-4327
  • Fax: 814-641-7104
Mailing address:
  • Phone: 814-641-4327
  • Fax: 814-641-7104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT007051
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: