MEDICARE: MR. NORMAN R. SOBEL M.S.

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	103TC0700X	Clinical Psychologist	PS003634L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902921646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NORMAN R. SOBEL M.S.

Provider Business Mailing Address
First Line	:	71 MCMURRAY RD
Second Line	:	SUITE 108
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-1634
Country	:	US
Telephone Number	:	412-833-6602
Fax Number	:	412-833-6602

Provider Business Practice Location Address
First Line	:	71 MCMURRAY RD
Second Line	:	SUITE 108
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-1634
Country	:	US
Telephone Number	:	412-833-6602
Fax Number	:	412-833-6602

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/08/2007

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