Healthcare Provider Details

I. General information

NPI: 1023583143
Provider Name (Legal Business Name): CARA O'BOYLE WEBSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARA MATHEWS O'BOYLE

II. Dates (important events)

Enumeration Date: 10/04/2018
Last Update Date: 10/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 ROCKWOOD AVENUE
PITTSBURGH PA
15234
US

IV. Provider business mailing address

625 ROCKWOOD AVENUE
PITTSBURGH PA
15234
US

V. Phone/Fax

Practice location:
  • Phone: 412-849-2865
  • Fax:
Mailing address:
  • Phone: 412-849-2865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: