Provider Demographics
NPI:1508934902
Name:TORPPA, ALAN JAMES (PHD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:JAMES
Last Name:TORPPA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7222 COUNTY ROAD 30
Mailing Address - Street 2:
Mailing Address - City:MOUNT GILEAD
Mailing Address - State:OH
Mailing Address - Zip Code:43338-9710
Mailing Address - Country:US
Mailing Address - Phone:419-946-8028
Mailing Address - Fax:419-946-9663
Practice Address - Street 1:7222 COUNTY ROAD 30
Practice Address - Street 2:
Practice Address - City:MOUNT GILEAD
Practice Address - State:OH
Practice Address - Zip Code:43338-9710
Practice Address - Country:US
Practice Address - Phone:419-946-8028
Practice Address - Fax:419-946-9663
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5177103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical