Healthcare Provider Details

I. General information

NPI: 1124127261
Provider Name (Legal Business Name): JUNE V ISALY & ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 07/06/2020
Certification Date: 07/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 MCKNIGHT PARK DRIVE
PITTSBURGH PA
15237-6503
US

IV. Provider business mailing address

PO BOX 81037
PITTSBURGH PA
15217-0537
US

V. Phone/Fax

Practice location:
  • Phone: 412-369-4285
  • Fax: 412-939-0246
Mailing address:
  • Phone: 412-369-4285
  • Fax: 412-939-0246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KATHY FIRESTINE
Title or Position: PRESIDENT
Credential:
Phone: 412-369-4285