Healthcare Provider Details

I. General information

NPI: 1629263702
Provider Name (Legal Business Name): LISA MARIE KUGLER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2007
Last Update Date: 09/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7180 HIGHLAND DRIVE VA PITTSBURGH HIGHLAND DRIVE- CTAD
PITTSBURGH PA
15206
US

IV. Provider business mailing address

7180 HIGHLAND DRIVE
PITTSBURGH PA
15206
US

V. Phone/Fax

Practice location:
  • Phone: 412-365-5132
  • Fax: 412-365-5176
Mailing address:
  • Phone: 412-365-5132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: