Healthcare Provider Details

I. General information

NPI: 1255596938
Provider Name (Legal Business Name): TERI ANN BOLTE PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. TERI ANN COX

II. Dates (important events)

Enumeration Date: 07/22/2008
Last Update Date: 11/29/2022
Certification Date: 11/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 DELAFIELD RD
PITTSBURGH PA
15240-1005
US

IV. Provider business mailing address

1010 DELAFIELD RD
PITTSBURGH PA
15240-1005
US

V. Phone/Fax

Practice location:
  • Phone: 412-360-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6610
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: