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NPI Code Detail

MEDICARE: ALICIA WYLAND LPC

MEDICARE: ALICIA WYLAND LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1811724123
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA WYLAND LPC
Provider Business Mailing Address
First Line : 1 ALTOONA PL
Second Line :
City : PITTSBURGH
State : PA
Zip : 15228-1265
Country : US
Telephone Number : 412-228-8489
Fax Number :
Provider Business Practice Location Address
First Line : 1 ALTOONA PL
Second Line :
City : PITTSBURGH
State : PA
Zip : 15228-1265
Country : US
Telephone Number : 412-228-8489
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2024
Last Update Date : 09/19/2024

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Directions to “ ALICIA WYLAND LPC” Practice Location

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