Healthcare Provider Details

I. General information

NPI: 1992474910
Provider Name (Legal Business Name): ALLAN E TERRY CRS/CPS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2021
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

538 SPRINGWOOD DR
VERONA PA
15147-2626
US

IV. Provider business mailing address

538 SPRINGWOOD DR
VERONA PA
15147-2626
US

V. Phone/Fax

Practice location:
  • Phone: 412-525-0339
  • Fax:
Mailing address:
  • Phone: 412-525-0339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number13659
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: