Healthcare Provider Details

I. General information

NPI: 1366824880
Provider Name (Legal Business Name): PSYCHOLOGICAL PERSPECTIVES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2015
Last Update Date: 05/09/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 REGIS AVE STE 2
PITTSBURGH PA
15236-1423
US

IV. Provider business mailing address

345 REGIS AVE STE 2
PITTSBURGH PA
15236-1423
US

V. Phone/Fax

Practice location:
  • Phone: 412-294-7399
  • Fax: 412-430-3034
Mailing address:
  • Phone: 412-294-7399
  • Fax: 412-430-3034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS017070
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS017070
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPS017070
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberPS017070
License Number StatePA

VIII. Authorized Official

Name: DR. VANESSA TALKINGTON
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 412-294-7399