Healthcare Provider Details

I. General information

NPI: 1043106206
Provider Name (Legal Business Name): CHRISTINA DIBLASIO PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 LOCUST ST STE 200
PITTSBURGH PA
15219-5131
US

IV. Provider business mailing address

1515 LOCUST ST STE 200
PITTSBURGH PA
15219-5131
US

V. Phone/Fax

Practice location:
  • Phone: 412-232-4301
  • Fax: 412-232-5859
Mailing address:
  • Phone: 412-232-4301
  • Fax: 412-232-5859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPS020623
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301019441
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS020623
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: