| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1720085228 | BOSWELL | JOHN | I | 1315 W COLLEGE AVE | STATE COLLEGE | PA | 168012776 | |
| 1003004458 | KRILEY | COURTNEY | ANNE | 1315 W COLLEGE AVE | STATE COLLEGE | PA | 168012776 | |
| 1700883378 | MORFORD | MAROLYN | E | 1315 W COLLEGE AVE | STATE COLLEGE | PA | 168012776 |