Provider Demographics
NPI:1992939862
Name:CORKOS, ALEX PERRY (LMFT)
Entity type:Individual
Prefix:MR
First Name:ALEX
Middle Name:PERRY
Last Name:CORKOS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 RIDGEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:VENETIA
Mailing Address - State:PA
Mailing Address - Zip Code:15367-1223
Mailing Address - Country:US
Mailing Address - Phone:412-567-3930
Mailing Address - Fax:
Practice Address - Street 1:4150 WASHINGTON RD
Practice Address - Street 2:SUITE 2
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2534
Practice Address - Country:US
Practice Address - Phone:412-567-3930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000365106H00000X
CAMFC25400106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist