Healthcare Provider Details

I. General information

NPI: 1780685222
Provider Name (Legal Business Name): TERI A MEYERS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TERI ANN SOBOLIK PHD

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 01/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 ALLEGHENY CTR FL 8
PITTSBURGH PA
15212-5255
US

IV. Provider business mailing address

4 ALLEGHENY CTR FL 8
PITTSBURGH PA
15212-5255
US

V. Phone/Fax

Practice location:
  • Phone: 412-330-4000
  • Fax: 412-330-4366
Mailing address:
  • Phone: 412-330-4000
  • Fax: 412-330-4366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS009048L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: