| Doctor Name: | CORINNE MARIE CREPPAGE |
| NPI Number: | 1043486442 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., L.P.C. |
| License Number: | |
| Business Practice Address: | 201 Chestnut Ave Altoona, PA - 166014927 |
| Business Phone Number: | 8149465411 |
| Business Fax Number: | 8149442904 |
| Mailing Address: | 201 Chestnut Ave, ALTOONA |
| State: | PA |
| Postal Code: | 166014927 |
| Phone Number: | 8149465411 |
| Fax Number: | 8149442904 |
| NPI Enumeration Date: | 05/06/2008 |
| NPI Last Update Date: | 01/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |