Healthcare Provider Details

I. General information

NPI: 1457425621
Provider Name (Legal Business Name): KENNETH BRIAN TORMEY PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 FRANKSTOWN RD SUITE 200
PITTSBURGH PA
15235-3049
US

IV. Provider business mailing address

342 BIRCH AVE
PITTSBURGH PA
15228-2377
US

V. Phone/Fax

Practice location:
  • Phone: 412-247-5780
  • Fax: 412-247-1099
Mailing address:
  • Phone: 412-343-3123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPS008950L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: