Organization · NPI-2

Allegheny Clinic

Psychologist, Clinical · Pittsburgh, PA

NPI number1114114626
StatusActive
Last updated in NPPESSep 7, 2016

Details

NPI
1114114626
Entity type
Organization (NPI-2)
Legal business name
Allegheny Clinic
Organization subpart
No
Enumeration date
Sep 28, 2007
Last updated
Sep 7, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical–PAYes

Other names

  • Allegheny Center For Digestive Health Phd (Doing Business As)

Practice location

1307 Federal St
Suite 301
Pittsburgh, PA 15212-4769

Phone 412-359-8900 · Fax 412-359-9877

Mailing address

1307 Federal St
Suite 301
Pittsburgh, PA 15212-4769

Phone 412-359-8900 · Fax 412-359-9877

Authorized official

Tesha Lovelace
Credentialing Spec
4123305187

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