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NPI Code Detail

MEDICARE: VISTA BEHAVIORAL HEALTH ASSOCIATES, INC

MEDICARE: VISTA BEHAVIORAL HEALTH ASSOCIATES, INC
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
1103T00000XPsychologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1957113OTHERPAHIGHMARK PSYCHOLOGY

General Provider Information

NPI Number : 1245304369
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISTA BEHAVIORAL HEALTH ASSOCIATES, INC
Provider Business Mailing Address
First Line : 230 N CRAIG ST
Second Line : SUITE B
City : PITTSBURGH
State : PA
Zip : 15213-1565
Country : US
Telephone Number : 412-621-3777
Fax Number : 412-622-7595
Provider Business Practice Location Address
First Line : 1370 WASHINGTON PIKE STE 303
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-2886
Country : US
Telephone Number : 412-206-0123
Fax Number : 412-206-0133
Authorized Official
Title or Position : OFFICE MANAGER
Name : LORI J ZAREMBA
Credential :
Telephone Number : 412-206-0123
Provider Enumeration Date : 11/20/2006
Last Update Date : 09/06/2022

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