Healthcare Provider Details

I. General information

NPI: 1033411046
Provider Name (Legal Business Name): ALLEGHENY PSYCHOLOGICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2010
Last Update Date: 11/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 N WHITFIELD ST SUITE 200
PITTSBURGH PA
15206-3039
US

IV. Provider business mailing address

211 N WHITFIELD ST SUITE 200
PITTSBURGH PA
15206-3039
US

V. Phone/Fax

Practice location:
  • Phone: 412-361-7158
  • Fax: 412-361-7156
Mailing address:
  • Phone: 412-361-7158
  • Fax: 412-361-7156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number41-01638678
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number41-01638678
License Number StatePA

VIII. Authorized Official

Name: DR. PATRICIA PEPE
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 412-361-7158