| Doctor Name: | CORA ALLEY |
| NPI Number: | 1063860609 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 39052-6 |
| Business Practice Address: | 1230 Douglas St Sturgis, SD - 577851869 |
| Business Phone Number: | 6052472523 |
| Business Fax Number: | |
| Mailing Address: | 1230 Douglas St, STURGIS |
| State: | SD |
| Postal Code: | 577851869 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2016 |
| NPI Last Update Date: | 05/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 39052-6 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |