Healthcare Provider Details

I. General information

NPI: 1619908357
Provider Name (Legal Business Name): NICHOLAS TOIA PH D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4725 MCKNIGHT ROAD SUITE 218
PITTSBURGH PA
15237
US

IV. Provider business mailing address

4725 MCKNIGHT ROAD SUITE 218
PITTSBURGH PA
15237
US

V. Phone/Fax

Practice location:
  • Phone: 412-650-8901
  • Fax: 412-630-8903
Mailing address:
  • Phone: 412-650-8901
  • Fax: 412-630-8903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS 005908L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: