Healthcare Provider Details

I. General information

NPI: 1407586613
Provider Name (Legal Business Name): DOUGLAS TEIXEIRA LEFFA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2022
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 FEDERAL STREET, 3RD FLOOR, SUITE 305
PITTSBURGH PA
15212
US

IV. Provider business mailing address

1307 FEDERAL STREET, 3RD FLOOR, SUITE 305
PITTSBURGH PA
15212
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD492654
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: