Provider Demographics
NPI:1992474910
Name:TERRY, ALLAN E (CRS)
Entity type:Individual
Prefix:
First Name:ALLAN
Middle Name:E
Last Name:TERRY
Suffix:
Gender:M
Credentials:CRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1071 SILVERDALE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-1356
Mailing Address - Country:US
Mailing Address - Phone:412-525-0339
Mailing Address - Fax:
Practice Address - Street 1:1789 S BRADDOCK AVE STE 550
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1880
Practice Address - Country:US
Practice Address - Phone:412-525-0339
Practice Address - Fax:412-346-4319
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-13
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA13659175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist