MEDICARE: TRANSFORMEDIA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist	PS004833L	PA

General Provider Information

NPI Number	:	1114123668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSFORMEDIA LLC

Provider Business Mailing Address
First Line	:	1158 WINDMILL LN # A
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-6249
Country	:	US
Telephone Number	:	412-445-5352
Fax Number	:

Provider Business Practice Location Address
First Line	:	4284 WILLIAM FLYNN HWY STE 206
Second Line	:
City	:	ALLISON PARK
State	:	PA
Zip	:	15101-1440
Country	:	US
Telephone Number	:	412-445-5352
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. NANCY MRAMOR
Credential	:	PHD
Telephone Number	:	412-445-5352

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	01/26/2024

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Directions to “TRANSFORMEDIA LLC ” Practice Location

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